Sheri A Wilson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10000582A Issued in IN

Practice address

1245 E Ireland Rd
South Bend, IN 46614-3448

Phone

(743) 127-0225

NPI assigned

Aug 22, 2005

Last updated

Jun 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Merit-based Incentive Payment System (MIPS)

Final score

86.36 of 100Reported as group

Quality

79.93

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

99 of 100Reported as group

Quality

95.9

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Ahn Emergency Group of Forbes LTD.

  • Emergency Medicine Physician
  • Monroeville, PA
  • NPI 1235554692
  Medicare reassignment
• Ahn Emergency Group of Pittsburgh LTD.

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1043635402
  Medicare reassignment
• Ahn Observation Group LLC

  • Emergency Medicine Physician
  • Jefferson Hills, PA
  • NPI 1437814696
  Medicare reassignment
• Midway Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Waukegan, IL
  • NPI 1447397526
  NPD (past)

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1568454940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 WINDY CT",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469013703",
            "telephone_number": "269-240-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 E IRELAND RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466143448",
            "telephone_number": "743-127-0225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Johnson St",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465143328",
            "country_code": "US",
            "telephone_number": "574-747-8004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 W Cleveland Rd",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465451003",
            "country_code": "US",
            "telephone_number": "574-235-3135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON",
        "first_name": "SHERI",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000582A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Neal Wilson, BS, OTR
• Haley Wilson
• Joshua Wilson
• Kali Mae Wilson
• Natalie Marie Wilson
• Nasiyah Winbush
• Maxwell Lewis Winkler, M.D.
• Derrick Lamonte Winston
• Mychaela Mychelle Winston, RBT
• Heather D Winterrowd

• Physician Assistant in South Bend, IN
• Providers in South Bend, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.