Individual provider Active NPI

Cheressa Raquel Hamm, PA-C

  • Medical Physician Assistant
  • Saline, MI
National Provider Identifier
1528596558
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601008264 Issued in MI
Practice address
1235 Industrial Dr Ste 1
Saline, MI 48176-1742
Phone
(734) 944-8000
NPI assigned
Jun 4, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 5601008264 MI Primary

Addresses

Primary practice location

1235 Industrial Dr Ste 1
Saline, MI 48176-1742

Mailing address

3315 Syckelmoore St
Trenton, MI 48183-3570
Phone (419) 966-7891

Other practice location 1

3145 W Clark Rd Ste 401
Ypsilanti, MI 48197-1120
Phone (734) 528-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230717002291 OH Practitioner - Physician Assistant 3779853619 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Urgent Care LLCGroup PAC ID 6406232230, 67 clinicians

Practice addresses (Care Compare)

1064 State Route 28
Unit F
Milford, OH 45150-4940
Phone (513) 981-4050

3626 S Detroit Ave
Toledo, OH 43614-4412
Phone (419) 272-6020

505 N Reynolds Rd
Toledo, OH 43615-0705
Phone (567) 803-0421

505 Trenton Ave
Findlay, OH 45840-3749
Phone (419) 463-9050

7224 Dutch Rd
Waterville, OH 43566-9831
Phone (419) 517-4664

Hospital & facility affiliations

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: chamm36778@direct.trinity-health.org
  • Direct secure messaging: chamm3030596@direct.bsmhealth.org
  • Direct secure messaging: cheressa.hamm@henrycountyhospital.medicity.net

Organizations & group practices 2

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": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1528596558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 SYCKELMOORE ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481833570",
            "telephone_number": "419-966-7891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 INDUSTRIAL DR STE 1",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761742",
            "telephone_number": "734-944-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3145 W Clark Rd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481971120",
            "country_code": "US",
            "telephone_number": "734-528-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMM",
        "first_name": "CHERESSA",
        "middle_name": "RAQUEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601008264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

Verify at the official NPI Registry.