NPIMap

Individual provider Active NPI

Sheli L Tinkelman, PA-C

  • Physician Assistant
  • Concord, NH
National Provider Identifier
1194717280
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1351 Issued in NH
Practice address
197 Loudon Rd Ste 350
Concord, NH 03301
Phone
(978) 691-5690
Fax
(978) 691-5693
NPI assigned
Aug 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003149 MI
Physician Assistant 363A00000X 1351 NH Primary

Addresses

Primary practice location

197 Loudon Rd Ste 350
Concord, NH 03301

Mailing address

31420 Northwestern Hwy
Suite 150
Farmington Hills, MI 48334-2508
Phone (248) 538-0109

Other identifiers 2

IdentifierTypeStateIssuer
1351OtherNHSTATE LICENSE
070F358740OtherMIBCBSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070711000650 MI Practitioner - Physician Assistant 4082714654 Reassigns benefits to 1 organization
I20180627002199 NH Practitioner - Physician Assistant 4082714654 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Dermatology Associates PCGroup PAC ID 3072403799, 84 clinicians

Practice addresses (Care Compare)

197 Loudon Rd
Suite 350
Concord, NH 03301-8000
Phone (978) 691-5690

23 Hampton Rd
Exeter, NH 03833-4807
Phone (978) 691-5690

Hospital & facility affiliations

  • Concord Hospital Hospital, Concord, NH, CCN 300001
  • Concord Hospital- Laconia Hospital, Laconia, NH, CCN 300005
  • Concord Hospital- Franklin Hospital, Franklin, NH, CCN 301306
  • Speare Memorial Hospital Hospital, Plymouth, NH, CCN 301311
  • Mary Hitchcock Memorial Hospital Hospital, Lebanon, NH, CCN 300003

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601003149MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health Care Associates PC CurrentSince Mar 9, 2004 Accepting new patients
Neda at North Shore PC CurrentSince Jun 11, 2018 Accepting new patients
Optima Dermatology LLC Past Accepting new patients
Northeast Dermatology Associates, PC Past Accepting new patients
Barry I Auster MD PC Past Accepting new patients
Midwest Center for Dermatology & Pathology, PLLC Past Accepting new patients

Locations

280 Merrimack St
Ste 311
Lawrence, MA 01843
Phone (925) 819-6228

2300 Haggerty Rd
Ste 2140
West Bloomfield, MI 48323
Phone (248) 669-5050

197 Loudon Rd
Ste 350
Concord, NH 03301

51 Webb Pl
Ste 240
Dover, NH 03820

23 Hampton Rd
Exeter, NH 03833
Phone (603) 772-4684

75 Gilcreast Rd
Unit 100
Londonderry, NH 03053

155 Borthwick Ave
Ste 201W
Portsmouth, NH 03801
Phone (603) 433-9575

Interoperability endpoints

  • Direct secure messaging: sheli.tinkelman@pd.eclinicaldirectplus.com
  • Direct secure messaging: stinkelman@nedermatology.emadirect.md

Organizations & group practices 8

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 10

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1194717280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31420 NORTHWESTERN HWY",
            "address_2": "SUITE 150",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483342508",
            "telephone_number": "248-538-0109",
            "fax_number": "248-538-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 LOUDON RD STE 350",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "03301",
            "telephone_number": "978-691-5690",
            "fax_number": "978-691-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINKELMAN",
        "first_name": "SHELI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003149",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "1351",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "070F358740",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

Verify at the official NPI Registry.