Individual provider Active NPI

Sheri Nicole Mitchell, NP

  • Family Nurse Practitioner
  • Madison Heights, MI
National Provider Identifier
1407419856
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704267796 Issued in MI
Practice address
1385 E 12 Mile Rd Ste 200
Madison Heights, MI 48071-2649
Phone
(248) 284-1760
Fax
(248) 284-1780
NPI assigned
Apr 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704267796 MI Primary

Addresses

Primary practice location

1385 E 12 Mile Rd Ste 200
Madison Heights, MI 48071-2649

Mailing address

3853 Indian TRL
China, MI 48054-2002
Phone (810) 531-9356

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
I20220811000407 MI Practitioner - Nurse Practitioner 8426431214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Physicians of MichiganGroup PAC ID 8921289760, 219 clinicians

Practice addresses (Care Compare)

1385 E 12 Mile Rd
200 Harper Bariatric Medicine Institute
Madison Heights, MI 48071-2649
Phone (248) 284-1760

Hospital & facility affiliations

  • Harper University Hospital Hospital, Detroit, MI, CCN 230104

Merit-based Incentive Payment System (MIPS)

Final score
90.26 of 100Reported as group
Quality
64.16
Promoting interoperability
100
Improvement activities
40
Cost
73.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704267796MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Physicians of Michigan CurrentSince May 10, 2022 Accepting new patients

Locations

6001 W Outer Dr
Ste 121
Detroit, MI 48235
Phone (313) 966-3222

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

4160 John R St
Ste 608
Detroit, MI 48201
Phone (312) 833-1333

1385 E 12 Mile Rd
Ste 200
Madison Hts, MI 48071
Phone (248) 284-1760

Interoperability endpoints

  • Direct secure messaging: sheri.mitchell.1@9704.direct.athenahealth.com

Organizations & group practices 1

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 1

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": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1407419856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3853 INDIAN TRL",
            "city": "CHINA",
            "state": "MI",
            "postal_code": "480542002",
            "telephone_number": "810-531-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 E 12 MILE RD STE 200",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480712649",
            "telephone_number": "248-284-1760",
            "fax_number": "248-284-1780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "SHERI",
        "middle_name": "NICOLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-20",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704267796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.