Charlene Sharon Staff

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007192 Issued in MI

Practice address

123 Main St
Ste 260
Royal Oak, MI 48067

Phone

(248) 971-9178

NPI assigned

Oct 21, 2014

Last updated

Jun 17, 2022By the provider in NPPES

Sex

Female

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, NC2 enrollments

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 2

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/26306/brand/1/csg/1/fhir/r4

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.

• Team Wellness Center

  • Community Health Clinic/Center
  • Detroit, MI
  • NPI 1588855100
  Medicare reassignment NPD
• Holiq Health, PLLC

  • Psychiatry Physician
  • Raleigh, NC
  • NPI 1851022172
  NPD Authorized official
• Ann Arbor Counseling Associates, LLC

  • Mental Health Counselor
  • Ann Arbor, MI
  • NPI 1881932283
  Medicare reassignment
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI, NC

  Medicare reassignment
• Charlene Sharon Staff

  • Physician Assistant
  • Detroit, MI
  • NPI 1619371564
  Authorized official Same address or phone
• Arbor West Chiropractic Center P.C.

  • Chiropractor
  • Ann Arbor, MI
  • NPI 1467529453
  NPD (past)
• Care Solutions Group, LLC

  • Case Management Agency
  • Royal Oak, MI
  • NPI 1467869941
  NPD (past)
• Indiana Advanced Psychiatry

  • Psychiatry Physician
  • Fort Wayne, IN
  • NPI 1861253742
  NPD (past)

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1245634195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22681 WOODWARD AVE UNIT 20042",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482207001",
            "telephone_number": "248-971-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 MAIN ST",
            "address_2": "STE 260",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48067",
            "telephone_number": "248-971-9178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFF",
        "first_name": "CHARLENE",
        "middle_name": "SHARON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-21",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David J Spiteri, MD
• Allison Squatrito
• Danny Thomas St Louis, ACNP
• Korri St. Clair, MA, BCBA
• St. Mary's Home Help Care LLC
• Patrick Lynn Stafford, M.D.
• Ana-Marija Stahl, NP
• Anthony Stallion, M.D.
• Kenneth Todd Stamper, MD
• Nicole Marie Stanczak, NP

• Physician Assistant in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.