Active NPI
Sherry J Velasco, NP
- Family Nurse Practitioner
- Sterling, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704252691
- Practice address
- 725 E State St
Sterling, MI 48659-9548 - Phone
- (989) 654-2491
- NPI assigned
- Oct 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704252691 | MI | Primary |
Addresses
Primary practice location
725 E State St
Sterling, MI 48659-9548
Mailing address
725 E State St
Sterling, MI 48659-9548
Phone (989) 941-1743
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201221002233 | MI | Practitioner - Nurse Practitioner | 9830098722 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advanced Radiology Services PC
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 363-7272
1501 W Chisholm St
Alpena, MI 49707-1401
Phone (616) 363-7272
1987 Navaho TRL
Okemos, MI 48864-2721
Phone (616) 363-7272
2039 County Rd
Suite 459
MC Millan, MI 49853-8304
Phone (616) 363-7272
2324 Nurmi Dr
Bay City, MI 48708-6872
Phone (616) 363-7272
25044 Hadlock Dr
Novi, MI 48374-2553
Phone (616) 363-7272
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone 61636372721046
4000 Wellness Dr
Midland, MI 48670-2000
Phone (616) 363-7272
Hospital & facility affiliations
- Mymichigan Medical Center Midland
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.33 of 100
- Quality
- 91.31
- Improvement activities
- 40
- Cost
- 79.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704252691 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Radiology Services PC | Current | Accepting new patients |
Locations
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
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.
Hospital & facility affiliations 3
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": "1603929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633478400000",
"number": "1104426162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 E STATE ST",
"city": "STERLING",
"state": "MI",
"postal_code": "486599548",
"telephone_number": "989-941-1743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 E STATE ST",
"city": "STERLING",
"state": "MI",
"postal_code": "486599548",
"telephone_number": "989-654-2491"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASCO",
"first_name": "SHERRY",
"middle_name": "J",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-29",
"last_updated": "2021-10-06",
"certification_date": "2021-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704252691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.