NPIMap

Individual provider Active NPI

Jennifer L Hichme, MD

  • Family Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1386628196
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301067796 Issued in MI
Practice address
43455 Schoenherr Rd
Ste 2
Sterling Heights, MI 48313
Phone
(586) 726-4823
Fax
(586) 726-8365
NPI assigned
Dec 5, 2005
Last updated
Jul 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301067796 MI Primary

Addresses

Primary practice location

43455 Schoenherr Rd
Ste 2
Sterling Heights, MI 48313

Mailing address

43455 Schoenherr Rd
Ste 2
Sterling Heights, MI 48313
Phone (586) 726-4823

Other identifiers 1

IdentifierTypeStateIssuer
4113601MedicaidMI

Other names 1

  • Jennifer Lisa Baustert Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061205000666 MI Practitioner - Family Practice 8820070840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Silver Pine Medical Group PLCGroup PAC ID 8325020332, 39 clinicians

Practice addresses (Care Compare)

43455 Schoenherr Rd
Suite 2
Sterling Heights, MI 48313-1972
Phone (586) 726-4823

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301067796MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Pine Medical Group PLC Family Medicine CurrentSince Apr 1, 2002 Accepting new patients
Bayside Family Medicine Chesterfield PC Family Medicine PastSince Oct 6, 2009 Accepting new patients

Locations

31225 23 Mile Rd
Chesterfield, MI 48047
Phone (586) 598-2900

36555 26 Mile Rd
Ste 2500
Lenox, MI 48048

15959 Hall Rd
Ste 110
Macomb, MI 48044

48801 Romeo Plank Rd
Ste 103
Macomb, MI 48044

13860 Canal Rd
Sterling Heights, MI 48313
Phone (248) 254-8900

43455 Schoenherr Rd
Ste 2
Sterling Hts, MI 48313
Phone (586) 884-2712

57850 Van Dyke Rd
Ste 600
Washington, MI 48094
Phone (586) 738-9448

Interoperability endpoints

  • Direct secure messaging: jenniferhichme@spmgsh.allscriptsdirect.net
  • Direct secure messaging: jhichme240961@direct.hfhs.org

Organizations & group practices 3

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.

Hospital & facility affiliations 9

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": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1386628196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43455 SCHOENHERR RD",
            "address_2": "STE 2",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48313",
            "telephone_number": "586-726-4823",
            "fax_number": "586-726-8365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43455 SCHOENHERR RD",
            "address_2": "STE 2",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "48313",
            "telephone_number": "586-726-4823",
            "fax_number": "586-726-8365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICHME",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-05",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301067796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4113601",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "BAUSTERT",
            "middle_name": "LISA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.