MEDICARE: MICHELLE SIMS NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	F02260930	MI

General Provider Information

NPI Number	:	1518813724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE SIMS NP

Provider Business Mailing Address
First Line	:	4581 LUTHER PATH
Second Line	:
City	:	SAINT JOSEPH
State	:	MI
Zip	:	49085-8309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5515 CLEVELAND AVE
Second Line	:
City	:	STEVENSVILLE
State	:	MI
Zip	:	49127-9669
Country	:	US
Telephone Number	:	269-429-9677
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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