Sherwin Guimalan Hisona

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704246725 Issued in MI

Practice address

15305 Oakleigh
Southgate, MI 48195-8532

Phone

(173) 428-7213

NPI assigned

Dec 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mandl Quality of Life PLCGroup PAC ID 5496185910, 11 clinicians

Apollo Hospitalist GroupGroup PAC ID 5193194033, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Garden City Hospital Hospital, Garden City, MI, CCN 230244
• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CFHEBA

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.

• Apollo Hospitalist Group

  • Hospitalist Physician
  • Garden City, MI
  • NPI 1548978794
  Medicare reassignment Care Compare group NPD
• M&L Quality of Life PLC

  • Physical Medicine & Rehabilitation Physician
  • Farmington Hills, MI
  • NPI 1932733383
  Medicare reassignment Care Compare group NPD
• Beaumont Medical Group- Specialty Services

  • Surgery Physician
  • Royal Oak, MI
  • NPI 1578072906
  Medicare reassignment NPD
• Apollo Family Health Services PC

  • Internal Medicine Physician
  • Garden City, MI
  • NPI 1891767281
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119
  Care Compare affiliation
• Prime Healthcare Services - Garden City LLC

  • General Acute Care Hospital
  • Garden City, MI
  • NPI 1043625940
  Care Compare affiliation

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1235726399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15305 OAKLEIGH",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481958532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15305 OAKLEIGH",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481958532",
            "telephone_number": "173-428-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISONA",
        "first_name": "SHERWIN",
        "middle_name": "GUIMALAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-23",
        "last_updated": "2021-06-16",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704246725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Hillen, MSW
• Shannon Hilliker, CCC-SLP
• Jennifer Hinkle
• Kimberly Danyette Hinton
• Alicia Marie Hirt
• Mona R Hitchcock, STUDENT - MS PSYCH
• Christina Hoelscher
• Katherine Lynn Hoff
• Rachael Lynn Hoffenblum
• Marie Hogan

• Nurse Practitioner in Southgate, MI
• Providers in Southgate, MI by specialty
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.