Individual provider Active NPI

Samantha Hileman, MS, PA-C

  • Physician Assistant
  • Ann Arbor, MI
National Provider Identifier
1235617697
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601008642 Issued in MI
Practice address
320 N Main St Ste 300
Ann Arbor, MI 48104-1127
Phone
(734) 436-4886
NPI assigned
Jul 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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 5601008642 MI Primary

Addresses

Primary practice location

320 N Main St Ste 300
Ann Arbor, MI 48104-1127

Mailing address

320 N Main St Ste 300
Ann Arbor, MI 48104-1127

Other practice location 1

2547 Monroe St
Dearborn, MI 48124-3013
Phone (313) 791-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
5601008642MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Advanced Psychiatry, P.C. CurrentSince Feb 21, 2021 Accepting new patients
Dearborn Ped & Adol Med Center II PLLC PastSince Sep 3, 2025 Accepting new patients

Locations

320 N Main St
Ste 300
Ann Arbor, MI 48104
Phone (734) 436-4886

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1235617697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 N MAIN ST STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N MAIN ST STE 300",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481041127",
            "telephone_number": "734-436-4886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2547 Monroe St",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481243013",
            "country_code": "US",
            "telephone_number": "313-791-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILEMAN",
        "first_name": "SAMANTHA",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-29",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601008642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.