Individual provider Active NPI

Sarah Jane Patterson, WHNP-BC

  • Women's Health Nurse Practitioner
  • Riverview, MI
National Provider Identifier
1164793063
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
4704260615 Issued in MI
Practice address
14700 King Rd
Suite C
Riverview, MI 48193-7909
Phone
(734) 479-2100
NPI assigned
Jan 24, 2012
Last updated
Aug 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 4704260615 MI Primary

Addresses

Primary practice location

14700 King Rd
Suite C
Riverview, MI 48193-7909

Mailing address

14700 King Rd
Suite C
Riverview, MI 48193-7909
Phone (734) 479-2100

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251016000216 MI Practitioner - Nurse Practitioner 5092202796 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2011
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

55 Cole Rd
Monroe, MI 48162-4103

55 Cole Rd
Monroe, MI 48162-4196

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704260615MIMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Soudabeh Ahadi MD PC CurrentSince Sep 10, 2025 Accepting new patients
Mercy Memorial Hospital Corporation PastSince Sep 10, 2025 Accepting new patients

Locations

55 Cole Rd
Monroe, MI 48162
Phone (734) 242-2022

Interoperability endpoints

  • Direct secure messaging: spatterson245530@direct.promedica.org

Organizations & group practices 2

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 4

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": "1327363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1164793063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14700 KING RD",
            "address_2": "SUITE C",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937909",
            "telephone_number": "734-479-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 KING RD",
            "address_2": "SUITE C",
            "city": "RIVERVIEW",
            "state": "MI",
            "postal_code": "481937909",
            "telephone_number": "734-479-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-24",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704260615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, MI

Sources for this page

Verify at the official NPI Registry.