SHELBY EMERGENCY SERVICES, LLC
NPI 1508824277
Nurse Practitioner in Shelby, MI

NPI Status: Active since May 03, 2006

Contact Information

72 S STATE ST
SHELBY, MI
ZIP 49455
Phone: (231) 861-2156

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  • Organization
  • Nurse Practitioner
  • CLIA Number: 23D2260275
  • CLIA Cert. Type: Other - MEDICAL RESCUE UNIT
  • CLIA Exp. Date: 05-16-2026

About SHELBY EMERGENCY SERVICES, LLC

This page provides the complete NPI Profile along with additional information for Shelby Emergency Services, Llc, a provider established in Shelby, Michigan operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1508824277 assigned on May 2006. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Shelby Emergency Services, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Eugene Dauchert (Ceo/president)

NPI
1508824277
Provider Name
SHELBY EMERGENCY SERVICES, LLC
Entity Type
Organization
Location Address
72 S STATE ST SHELBY, MI 49455
Location Phone
(231) 861-2156
Mailing Address
PO BOX 827424 PHILADELPHIA, PA 19182
Mailing Phone
(904) 805-1300
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2006
Last Update Date
09-11-2025
Code Navigator

A nurse practitioner (NP) like Shelby Emergency Services, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207P00000XAllopathic & Osteopathic Physicians

Emergency Medicine

 
2363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

EUGENE DAUCHERT

Authorized Official Title
CEO/PRESIDENT
Authorized Official Phone
(919) 768-4392

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
23D2260275
Facility Type
Other - MEDICAL RESCUE UNIT
Certificate Effective Date
May 17, 2024
Certificate Expiration Date
May 16, 2026
Laboratory Director
JACK E. WHITE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Shelby Emergency Services, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1508824277, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
0
Doubled → 0
Pos 4
8
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 8 → 16 → 7 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 0 + 8 + 1 + 6 + 2 + 8 + 2 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1508824277.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Nurse Anesthetist, Certified Registered
72 S STATE ST
SHELBY, MI 49455
Emergency Medicine
72 S STATE ST, LAKESHORE EMERGENCY SOLUTIONS, PLLC
SHELBY, MI 49455
Emergency Medicine
72 S STATE ST
SHELBY, MI 49455
Emergency Medicine (Emergency Medical Services)
72 S STATE ST
SHELBY, MI 49455
Clinic/Center (Health Service)
72 S STATE ST
SHELBY, MI 49455
Psychiatry & Neurology (Sleep Medicine)
72 S STATE ST
SHELBY, MI 49455
Nurse Practitioner
72 S STATE ST
SHELBY, MI 49455
Clinic/Center (Infusion Therapy)
72 S STATE ST
SHELBY, MI 49455
Clinic/Center (Infusion Therapy)
72 S STATE ST
SHELBY, MI 49455
Dietitian, Registered
72 S STATE ST
SHELBY, MI 49455
Nurse Anesthetist, Certified Registered
72 S STATE ST
SHELBY, MI 49455
Nurse Anesthetist, Certified Registered
72 S STATE ST
SHELBY, MI 49455
General Acute Care Hospital (Critical Access)
72 S STATE ST
SHELBY, MI 49455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508824277, enumerated as an "organization" on May 03, 2006.

The provider is located at 72 S STATE ST SHELBY, MI 49455 and the phone number is (231) 861-2156.

Nurse Practitioner with taxonomy code 363L00000X.