Individual provider Active NPI

Mikan E Sheldon, PAC

  • Physician Assistant
  • Barrington, IL
National Provider Identifier
1043208515
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
385001900 Issued in IL
Practice address
400 Fox Glen Dr
Barrington, IL 60010-1824
Phone
(847) 382-9150
Fax
(847) 382-9155
NPI assigned
Oct 10, 2005
Last updated
Dec 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 385001900 IL Primary

Addresses

Primary practice location

400 Fox Glen Dr
Barrington, IL 60010-1824

Mailing address

400 Fox Glen CT
Barrington, IL 60010-1824
Phone (847) 382-9155

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address msheldon286200@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20031212000364 IL Practitioner - Physician Assistant 4981500543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160

27790 W Hwy 22
Barrington, IL 60010-2396

400 Fox Glen CT
Barrington, IL 60010-1824
Phone (847) 382-9150

4847 Hoffman Blvd
Hoffman Estates, IL 60192-3722
Phone (847) 685-4646

525 E Congress Pkwy
Crystal Lake, IL 60014-6258

633 Ridgeview Dr
McHenry, IL 60050-7012
Phone (815) 344-0621

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
385001900ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Oct 26, 2020 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Oct 26, 2020 Accepting new patients
Advocate Health and Hospitals Corporation Past Accepting new patients

Locations

400 Fox Gln
Barrington, IL 60010
Phone (847) 382-9150

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

Organizations & group practices 3

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1043208515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FOX GLEN CT",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101824",
            "telephone_number": "847-382-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FOX GLEN DR",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600101824",
            "telephone_number": "847-382-9150",
            "fax_number": "847-382-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELDON",
        "first_name": "MIKAN",
        "middle_name": "E",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "385001900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msheldon286200@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 Fox Glen Dr",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "400 Fox Glen Dr",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600101824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Barrington, IL

Sources for this page

Verify at the official NPI Registry.