Individual provider Active NPI

Sherrilyn Hill, FNP-C

  • Primary Care Nurse Practitioner
  • Portage, MI
National Provider Identifier
1457612343
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
3425 Issued in CO
Practice address
2725 Airview Blvd Ste 105
Portage, MI 49002
Phone
(269) 349-8386
Fax
(269) 349-8397
NPI assigned
Jun 6, 2012
Last updated
Nov 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 3425 CO Primary

Addresses

Primary practice location

2725 Airview Blvd Ste 105
Portage, MI 49002

Mailing address

2725 Airview Blvd Ste 105
Portage, MI 49002-1804
Phone (269) 349-8386

Other practice location 1

318 Fossil Dr
Johnstown, CO 80534-7452
Phone (970) 587-0315

Other practice location 2

318 Fossil Dr
Johnstown, CO 80534-7452
Phone (970) 587-0315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3425COMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa PC CurrentSince Nov 9, 2018 Accepting new patients
Vpa PC CurrentSince Nov 9, 2018 Accepting new patients
Vpa PC Current Accepting new patients

Locations

2205 Jolly Rd
Ste A
Okemos, MI 48864
Phone (517) 347-4085

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

2725 Airview Blvd
Ste 105
Portage, MI 49002
Phone (269) 349-8386

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

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.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1457612343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 AIRVIEW BLVD STE 105",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490021804",
            "telephone_number": "269-349-8386",
            "fax_number": "269-349-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 AIRVIEW BLVD STE 105",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "49002",
            "telephone_number": "269-349-8386",
            "fax_number": "269-349-8397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "318 Fossil Dr",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "CO",
            "postal_code": "805347452",
            "country_code": "US",
            "telephone_number": "970-587-0315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "318 Fossil Dr",
            "address_purpose": "LOCATION",
            "city": "Johnstown",
            "state": "CO",
            "postal_code": "805347452",
            "country_code": "US",
            "telephone_number": "970-587-0315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "SHERRILYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CO",
            "license": "3425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

Verify at the official NPI Registry.