ANDERSEN SHEMME MD
NPI 1861986481
Psychiatry & Neurology - Epilepsy
in Muskegon, MI
About Andersen Shemme Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDERSEN SHEMME MD (NPI 1861986481) is an individual epilepsy provider in Muskegon, Michigan, licensed in Michigan (4301506532) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Andersen Shemme Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Andersen Shemme reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Muskegon, MI 49442
- Reassigned Medicare billing, Michigan enrollment
- 150 clinicians in this Medicare group
Sparta, MI 49345
- Reassigned Medicare billing, Michigan enrollment
- 737 clinicians in this Medicare group
Wyoming, MI 49519
- Reassigned Medicare billing, Michigan enrollment
- 685 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mercy Health Saint Mary's
Acute Care Hospitals · Grand Rapids, MITrinity Health Muskegon Hospital
Acute Care Hospitals · Muskegon, MITrinity Health Grand Haven Hospital
Acute Care Hospitals · Grand Haven, MIUniversity Of Michigan Health - West
Acute Care Hospitals · Wyoming, MIMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MUSKEGON, MI 49444
MUSKEGON, MI 49444
MUSKEGON, MI 49444
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 Andersen Shemme's NPI number?
The NPI number for Andersen Shemme is 1861986481. It was assigned to this individual provider in the NPPES registry on June 18, 2018.
Where is Andersen Shemme located?
Andersen Shemme practices at 1150 E Sherman Blvd Ste 2400, Muskegon, MI 49444. The listed phone number is (231) 672-4243.
What is Andersen Shemme's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.
Is Andersen Shemme enrolled in Medicare?
Yes. Andersen Shemme is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Andersen Shemme's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andersen Shemme reassigns Medicare benefits to 3 organizations: Mercy Health Partners - Physician Specialist (Muskegon, MI), Advantage Health/Saint Mary's Medical Group (Sparta, MI) and Metropolitan Hospital (Wyoming, MI). Each 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 Andersen Shemme's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andersen Shemme accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Andersen Shemme 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.
Is Andersen Shemme affiliated with any hospitals?
According to CMS data, Andersen Shemme is affiliated with Mercy Health Saint Mary's, Trinity Health Muskegon Hospital, Trinity Health Grand Haven Hospital and University Of Michigan Health - West.
When was this NPI record last updated?
The NPPES record for Andersen Shemme was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Andersen Shemme, MD · NPI 1861986481
Epilepsy physician in Muskegon, Michigan. Individual provider, active in the CMS NPPES registry since June 18, 2018.
## Identity
- **NPI:** 1861986481 (Entity type: Individual)
- **Enumerated:** June 18, 2018
- **Primary specialty:** Psychiatry & Neurology - Epilepsy · taxonomy 2084E0001X
- **State license:** 4301506532 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1150 E SHERMAN BLVD STE 2400, Muskegon, MI 49444-1886
- **Phone:** (231) 672-4243
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Mercy Health Partners - Physician Specialist (NPI 1922248772, Muskegon, MI); Advantage Health/Saint Mary's Medical Group (NPI 1760599906, Sparta, MI); Metropolitan Hospital (NPI 1336182542, Wyoming, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** September 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1861986481) · Data from the CMS NPPES public registry.