Individual provider Active NPI

Joey Sheroski, AGNP-C

  • Gerontology Nurse Practitioner
  • Grand Blanc, MI
National Provider Identifier
1306576871
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704256210 Issued in MI
Practice address
4221 E Maple Ave
Grand Blanc, MI 48439-3403
Phone
(810) 515-0117
NPI assigned
Jun 16, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LG0600X 4704256210 MI Primary

Addresses

Primary practice location

4221 E Maple Ave
Grand Blanc, MI 48439-3403

Mailing address

4221 E Maple Ave
Grand Blanc, MI 48439-3403
Phone (810) 515-0117

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
I20221221000941 MI Practitioner - Nurse Practitioner 7911376736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
James a. Gibson, M.D., P.C.Group PAC ID 5890685499, 2 clinicians

Practice addresses (Care Compare)

5784 Highland Rd
Waterford, MI 48327-1826
Phone (248) 889-4765

Hospital & facility affiliations

  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James a. Gibson, M.D., P.C. Single Specialty CurrentSince Oct 3, 2022 Accepting new patients
Michigan Healthcare Professionals PC Single Specialty PastSince Oct 3, 2022 Accepting new patients

Locations

5784 Highland Rd
Waterford, MI 48327
Phone (248) 673-6667

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14305/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ms.joey.sheroski.1@14305.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1306576871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4221 E MAPLE AVE",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484393403",
            "telephone_number": "810-515-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4221 E MAPLE AVE",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484393403",
            "telephone_number": "810-515-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEROSKI",
        "first_name": "JOEY",
        "name_prefix": "Ms.",
        "credential": "AGNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704256210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.