Isabella Sheena, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601012894 Issued in MI

Practice address

1083 Suncrest Dr Ste a
Lapeer, MI 48446-4421

Phone

(810) 245-9700

NPI assigned

Nov 27, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1033935705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 LOCHAVEN RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483243736",
            "telephone_number": "248-904-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083 SUNCREST DR STE A",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484464421",
            "telephone_number": "810-245-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEENA",
        "first_name": "ISABELLA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601012894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharma Clinic PLLC
• Shikha Sharma, M.D.
• Vishnu Kant Sharma, MD
• Valerie Shaw
• Matthew Shea
• Sarah M Shelton, LMSW, ACSW, CAC-I
• Bruce Kelvin Sherman, D.C.
• Gloria Sherman
• Marissa Sherry
• Blake Thomas Shiflett

• Medical Physician Assistant in Lapeer, MI
• Providers in Lapeer, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.