NPIMap

Individual provider Active NPI

Shawn R Gerrity, PA-C

  • Physician Assistant
  • Tecumseh, MI
National Provider Identifier
1043596760
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601002507 Issued in MI
Practice address
501 E. Cummins St
Tecumseh, MI 49286
Phone
(517) 423-2960
Fax
(517) 423-2786
NPI assigned
Oct 26, 2011
Sex
Male
Sole proprietor
No

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

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

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adrian Urgent Care PLLC 9 clinicians

Practice addresses (Care Compare)

715 N Main St
Adrian, MI 49221-2151
Phone (248) 957-7999

Hospital & facility affiliations

  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120529000135 MI Practitioner - Physician Assistant 0042473258 Reassigns benefits to 7 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601002507MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc CurrentSince Aug 21, 2018 Accepting new patients
Munson Healthcare Grayling CurrentSince Jul 5, 2022 Accepting new patients
Washtenaw Urgent Care Current Accepting new patients
Family Medical Center of Michigan, Inc CurrentSince Mar 24, 2015 Accepting new patients
Wa Foote Memorial Hospital, Inc Physician Assistant Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince Dec 22, 2011 Accepting new patients
Family Medical Center of Michigan,Inc CurrentSince Mar 24, 2015 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Dec 22, 2011 Accepting new patients
Adrian Urgent Care PLLC Past Accepting new patients
Lansing Urgent Care, PLC Past Accepting new patients

Locations

3781 Momentum Pl
Chicago, IL 60689

3280 Washtenaw Ave
Ann Arbor, MI 48104
Phone (734) 225-9300

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546

234 Lake St
Roscommon, MI 48653
Phone (517) 275-1200

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

8765 Lewis Ave
Temperance, MI 48182

Interoperability endpoints

  • Direct secure messaging: sgerrity528688@direct.hfhs.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601002507 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

501 E. Cummins St
Tecumseh, MI 49286

Mailing address

501 E. Cummins St
Tecumseh, MI 49286
Phone (517) 423-2960

Other practice location 1

234 Lake St
Roscommon, MI 48653-9203
Phone (989) 275-1200

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 20, 2022.

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1043596760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E. CUMMINS ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "49286",
            "telephone_number": "517-423-2960",
            "fax_number": "517-423-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E. CUMMINS ST",
            "city": "TECUMSEH",
            "state": "MI",
            "postal_code": "49286",
            "telephone_number": "517-423-2960",
            "fax_number": "517-423-2786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "234 Lake St",
            "address_purpose": "LOCATION",
            "city": "Roscommon",
            "state": "MI",
            "postal_code": "486539203",
            "country_code": "US",
            "telephone_number": "989-275-1200",
            "fax_number": "989-275-1210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERRITY",
        "first_name": "SHAWN",
        "middle_name": "R",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-26",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601002507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tecumseh, MI

Sources for this page

Verify at the official NPI Registry.