SHORELINE FAMILY MEDICINE PC
NPI 1417094459
Family Medicine in Muskegon, MI

Q: What is Shoreline Family Medicine PC's NPI number?

The NPI number for Shoreline Family Medicine PC is 1417094459. It was assigned to this organization in the NPPES registry on January 31, 2007.

Q: What is Shoreline Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 31, 2007

5933 GRAND HAVEN RD, MUSKEGON, MI 49441(231) 799-3300(231) 799-3322 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Shoreline Family Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHORELINE FAMILY MEDICINE PC (NPI 1417094459) is a healthcare organization registered as a family medicine in Muskegon, Michigan and active in the NPI registry since January 2007. The organization lists Matthew N. Powell, Physician, as its authorized official.

NPPES Registry Identity

NPI1417094459

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSHORELINE FAMILY MEDICINE PC

Location Address5933 GRAND HAVEN RDMuskegon, MI 49441-6011

Mailing Address5933 Grand Haven RdMuskegon, MI 49441-6011 · (231) 799-3300 · Fax (231) 799-3322

Phone(231) 799-3300

Fax(231) 799-3322

Organization SubpartNo

Authorized OfficialMatthew N. PowellPhysician · (231) 780-3300

Enumeration DateJanuary 31, 2007

Last NPPES UpdateMay 5, 2008

✔ NPI 1417094459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MI · 5101013736

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5933 GRAND HAVEN RD, Muskegon, MI 49441

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Other Identifiers 3

Medicare UPING97079MI

Other5610080MI · Blue Cross

Medicaid4309931MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shoreline Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shoreline Family Medicine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Matthew Powell, D.O.

Family Practice

NPI 1154316222

5933 GRAND HAVEN RD
Muskegon, MI 49441

(231) 799-3300

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shoreline Family Medicine PC's NPI number?

The NPI number for Shoreline Family Medicine PC is 1417094459. It was assigned to this organization in the NPPES registry on January 31, 2007.

Where is Shoreline Family Medicine PC located?

Shoreline Family Medicine PC is located at 5933 Grand Haven Rd, Muskegon, MI 49441. The listed phone number is (231) 799-3300.

What is Shoreline Family Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shoreline Family Medicine PC enrolled in Medicare?

Yes. Shoreline Family Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shoreline Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Shoreline Family Medicine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Shoreline Family Medicine PC accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Shoreline Family Medicine PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shoreline Family Medicine PC was last updated on May 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.