Individual provider Active NPI

Emily Mason, PA-C

  • Physician Assistant
  • West Bloomfield, MI
National Provider Identifier
1487003406
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007787 Issued in MI
Practice address
7125 Orchard Lake Rd Ste 100
West Bloomfield, MI 48322
Phone
(248) 865-7444
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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 5601007787 MI Primary

Addresses

Primary practice location

7125 Orchard Lake Rd Ste 100
West Bloomfield, MI 48322

Mailing address

7125 Orchard Lake Rd Ste 101
West Bloomfield, MI 48322-3616
Phone (248) 865-7481

Other practice location 1

4986 N Adams Rd
Suite A
Rochester, MI 48306-5017
Phone (248) 475-4301

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
I20180517000030 MI Practitioner - Physician Assistant 9638434822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet Urgent Care of MichiganGroup PAC ID 6305188491, 129 clinicians

Practice addresses (Care Compare)

2078 E Big Beaver Rd
Beaumont Urgent Care of Michigan
Troy, MI 48083-2301
Phone (248) 918-0744

29263 Orchard Lake Rd
Farmington Hills, MI 48334-2953
Phone (248) 488-5900

3200 Walton Blvd
Rochester Hills, MI 48309-1200
Phone (248) 809-5224

42757 Woodward Ave
Beaumont Urgent Care by Wellstreet
Bloomfield Hills, MI 48304-5037
Phone (248) 940-4937

6470 Orchard Lake Rd
West Bloomfield, MI 48322-2337
Phone (248) 419-8019

6543 Telegraph Rd
Bloomfield Township, MI 48301-3066
Phone (248) 940-4751

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.04 of 100Reported as group
Quality
67.93
Promoting interoperability
100
Improvement activities
40
Cost
52.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601007787MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Country Creek Family Medicine PLLC PastSince Apr 9, 2024 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1487003406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 101",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223616",
            "telephone_number": "248-865-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 ORCHARD LAKE RD STE 100",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "48322",
            "telephone_number": "248-865-7444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4986 N Adams Rd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MI",
            "postal_code": "483065017",
            "country_code": "US",
            "telephone_number": "248-475-4301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MASON",
        "first_name": "EMILY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.