NPIMap

Individual provider Active NPI

Andrew Scott Hershberger, PA

  • Physician Assistant
  • Kalamazoo, MI
National Provider Identifier
1407224363
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1722 Shaffer St Ste 1
Kalamazoo, MI 49048-1633
Phone
(269) 381-3963
NPI assigned
Sep 9, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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 Primary

Addresses

Primary practice location

1722 Shaffer St Ste 1
Kalamazoo, MI 49048-1633

Mailing address

4319 Hemmingway Dr
Kalamazoo, MI 49009-2467

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
I20151023000064 MI Practitioner - Physician Assistant 5799094256 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McLaren Medical GroupGroup PAC ID 3971416082, 240 clinicians
McLaren Northern MichiganGroup PAC ID 9931018181, 60 clinicians
McLaren Central MichiganGroup PAC ID 6103733092, 183 clinicians

Practice addresses (Care Compare)

401 S Ballenger Hwy
Flint, MI 48532-3638
Phone (810) 342-2000

416 Connable Ave
Petoskey, MI 49770-2212
Phone (231) 487-4000

560 W Mitchell St
Suite C70
Petoskey, MI 49770-2275
Phone (231) 487-7200

944 N Ctr Ave
Gaylord, MI 49735-9318
Phone (989) 731-5781

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Medical Group CurrentSince Jul 1, 2024 Accepting new patients
McLaren Central Michigan CurrentSince Jul 1, 2024 Accepting new patients
Ascension Medical Group Promed CurrentSince Oct 26, 2015 Accepting new patients
McLaren Northern Michigan CurrentSince Jul 1, 2024 Accepting new patients
McLaren Central Michigan CurrentSince Jul 1, 2024 Accepting new patients
McLaren Northern Michigan CurrentSince Jul 1, 2024 Accepting new patients
Promed Healthcare CurrentSince Oct 26, 2015 Accepting new patients
McLaren Central Michigan Past Accepting new patients
McLaren Medical Group Past Accepting new patients

Locations

740 S Main St
Ste 1D
Cheboygan, MI 49721
Phone (231) 627-1449

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000

944 N Center Ave
Gaylord, MI 49735
Phone (989) 731-5781

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

560 W Mitchell St
Ste 402
Petoskey, MI 49770
Phone (231) 487-4760

560 W Mitchell St
Ste 400
Petoskey, MI 49770
Phone (231) 330-3585

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

Organizations & group practices 12

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 6

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": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441756800000",
    "number": "1407224363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 HEMMINGWAY DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490092467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SHAFFER ST STE 1",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490481633",
            "telephone_number": "269-381-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSHBERGER",
        "first_name": "ANDREW",
        "middle_name": "SCOTT",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.