Individual provider Active NPI

Carla-Marie Shermetaro Hayden, PA

  • Medical Physician Assistant
  • Shelby TWP, MI
National Provider Identifier
1427718758
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601010952 Issued in MI
Practice address
2177 Auburn Rd Ste a
Shelby TWP, MI 48317-3813
Phone
(586) 737-7520
Fax
(586) 737-7591
NPI assigned
Dec 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601010952 MI Primary

Addresses

Primary practice location

2177 Auburn Rd Ste a
Shelby TWP, MI 48317-3813

Mailing address

2177 Auburn Rd Ste a
Shelby TWP, MI 48317-3813
Phone (586) 737-7520

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
I20260317001030 MI Practitioner - Physician Assistant 7315420445 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2177 Auburn Rd
Suite a
Shelby Township, MI 48317-3813

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601010952MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Endocrine and Metabolic Disorders Center PC CurrentSince Feb 7, 2026 Accepting new patients

Locations

2177 Auburn Rd
Ste A
Shelby Township, MI 48317
Phone (586) 737-7520

2177 Auburn Rd
Shelby Township, MI 48317
Phone (586) 731-7520

Interoperability endpoints

  • Direct secure messaging: chayden722056@direct.hfhs.org

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 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": "1640649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1427718758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 AUBURN RD STE A",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483173813",
            "telephone_number": "586-737-7520",
            "fax_number": "586-737-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2177 AUBURN RD STE A",
            "city": "SHELBY TWP",
            "state": "MI",
            "postal_code": "483173813",
            "telephone_number": "586-737-7520",
            "fax_number": "586-737-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "CARLA-MARIE",
        "middle_name": "SHERMETARO",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601010952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby TWP, MI

Sources for this page

Verify at the official NPI Registry.