Individual provider Active NPI

Anna Lynn Shrift, PA-C

  • Physician Assistant
  • Traverse City, MI
National Provider Identifier
1164022331
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1170887 Issued in MI
Practice address
849 Black Hill LN
Traverse City, MI 49696-8674
Phone
(231) 632-1951
NPI assigned
Oct 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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 1170887 MI Primary

Addresses

Primary practice location

849 Black Hill LN
Traverse City, MI 49696-8674

Mailing address

849 Black Hill LN
Traverse City, MI 49696-8674
Phone (231) 632-1951

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
I20210920003532 IL Practitioner - Physician Assistant 9032516968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical University of South Carolina College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bespoke PsychiatryGroup PAC ID 3274951744, 51 clinicians

Practice addresses (Care Compare)

1203 W Augusta Blvd
Chicago, IL 60642-4327
Phone (773) 248-2255

Merit-based Incentive Payment System (MIPS)

Final score
97.25 of 100Reported as group
Quality
80.59
Promoting interoperability
100
Improvement activities
40
Cost
76.91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1170887MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bespoke Psychiatry CurrentSince Jun 10, 2021 Accepting new patients

Locations

1203 W Augusta Blvd
Ste 1
Chicago, IL 60642
Phone (773) 248-2255

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": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1164022331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "849 BLACK HILL LN",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968674",
            "telephone_number": "231-632-1951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "849 BLACK HILL LN",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496968674",
            "telephone_number": "231-632-1951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRIFT",
        "first_name": "ANNA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "1170887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.