Individual provider Active NPI

Craig Sheerin, PA-C

  • Physician Assistant
  • Kalkaska, MI
National Provider Identifier
1255416871
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003302 Issued in MI
Practice address
419 S Coral St
Kalkaska, MI 49646-2500
Phone
(231) 258-7506
Fax
(231) 258-7592
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 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 5601003302 MI Primary

Addresses

Primary practice location

419 S Coral St
Kalkaska, MI 49646-2500

Mailing address

419 S Coral St
Kalkaska, MI 49646-2500
Phone (231) 258-7506

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address medreckmh@direct.mhc.net

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040211000466 MI Practitioner - Physician Assistant 1759275795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kalkaska Memorial Health Center Physician Assistant Current Accepting new patients
Kalkaska Memorial Health Center CurrentSince Nov 10, 2017 Accepting new patients
Kalkaska Memorial Health Center CurrentSince Nov 10, 2017 Accepting new patients
John M Cilluffo MD PLC PastSince Mar 5, 2010 Accepting new patients

Locations

419 S Coral St
Kalkaska, MI 49646
Phone (231) 258-7500

Interoperability endpoints

  • Direct secure messaging: csheerin@direct.mhc.net

Organizations & group practices 5

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1255416871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 S CORAL ST",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496462500",
            "telephone_number": "231-258-7506",
            "fax_number": "231-258-7592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S CORAL ST",
            "city": "KALKASKA",
            "state": "MI",
            "postal_code": "496462500",
            "telephone_number": "231-258-7506",
            "fax_number": "231-258-7592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEERIN",
        "first_name": "CRAIG",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "medreckmh@direct.mhc.net",
            "affiliation": "N",
            "address_1": "419 S Coral St",
            "city": "Kalkaska",
            "state": "MI",
            "country_code": "US",
            "postal_code": "496462500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalkaska, MI

Sources for this page

Verify at the official NPI Registry.