Active NPI
Samantha Hileman, MS, PA-C
- Physician Assistant
- Ann Arbor, MI
National Provider Identifier
1235617697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601008642
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 5601008642 | MI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Advanced Psychiatry, P.C. | Current | Accepting new patients | |
| Dearborn Ped & Adol Med Center II PLLC | Past | 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.
-
- Psychiatry Physician
- Ann Arbor, MI
- NPI 1629686837
-
- Pediatrics Physician
- Dearborn, MI
- NPI 1265310338
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.