NPIMap

Individual provider Active NPI

Tricia M Anderson, PA C

  • Medical Physician Assistant
  • Norton Shores, MI
National Provider Identifier
1487678272
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601003138 Issued in MI
Practice address
1325 E Sherman Blvd
Norton Shores, MI 49444-1813
Phone
(231) 737-8446
Fax
(231) 737-0510
NPI assigned
Jul 26, 2006
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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 5601003138 MI Primary

Addresses

Primary practice location

1325 E Sherman Blvd
Norton Shores, MI 49444-1813

Mailing address

1325 E Sherman Blvd
Norton Shores, MI 49444-1813
Phone (231) 737-8446

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
I20040826000647 MI Practitioner - Physician Assistant 0840270203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brian Gluck DO PCGroup PAC ID 0547226433, 4 clinicians

Practice addresses (Care Compare)

1325 E Sherman Blvd
Norton Shores, MI 49444-1813
Phone (231) 737-8446

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hackley Community Care Center, Inc Past Accepting new patients
Hackley Community Care Center, Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center, Inc Past Accepting new patients
Spectrum Health Primary Care Partners Past Accepting new patients
Hackley Community Care Center, Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center, Inc Past Accepting new patients
Hackley Community Care Center, Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center, Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center, Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center, Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients
Hackley Community Care Center Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tanderson@f14304d5.micromddirect.com

Organizations & group practices 27

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.

View all 27

Hospital & facility affiliations 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1487678272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 E SHERMAN BLVD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494441813",
            "telephone_number": "231-737-8446",
            "fax_number": "231-737-0510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 E SHERMAN BLVD",
            "city": "NORTON SHORES",
            "state": "MI",
            "postal_code": "494441813",
            "telephone_number": "231-737-8446",
            "fax_number": "231-737-0510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "TRICIA",
        "middle_name": "M",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norton Shores, MI

Sources for this page

Verify at the official NPI Registry.