Individual provider Active NPI

Sharon Kay Blattert, NP

  • Nurse Practitioner
  • Bingham Farms, MI
National Provider Identifier
1023364445
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704208896 Issued in MI
Practice address
30600 Telegraph Rd
Suite 3275
Bingham Farms, MI 48025-4530
Phone
(248) 723-9613
Fax
(248) 723-9615
NPI assigned
Aug 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704208896 MI Primary

Addresses

Primary practice location

30600 Telegraph Rd
Suite 3275
Bingham Farms, MI 48025-4530

Mailing address

30600 Telegraph Rd
Suite 3275
Bingham Farms, MI 48025-5718
Phone (248) 723-9613

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121127000703 MI Practitioner - Nurse Practitioner 6901057884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
57.96 of 100Reported as group
Quality
21.71
Promoting interoperability
12
Improvement activities
40
Cost
78.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704208896MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Care Solutions for Adults and Seniors, Inc. CurrentSince Oct 1, 2015 Accepting new patients

Locations

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

28800 Ryan Rd
Ste 320
Warren, MI 48092
Phone (586) 582-0500

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1023364445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD",
            "address_2": "SUITE 3275",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480255718",
            "telephone_number": "248-723-9613",
            "fax_number": "248-723-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30600 TELEGRAPH RD",
            "address_2": "SUITE 3275",
            "city": "BINGHAM FARMS",
            "state": "MI",
            "postal_code": "480254530",
            "telephone_number": "248-723-9613",
            "fax_number": "248-723-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLATTERT",
        "first_name": "SHARON",
        "middle_name": "KAY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704208896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bingham Farms, MI

Sources for this page

Verify at the official NPI Registry.