Individual provider Active NPI

Calli Smenner Berman

  • Nurse Practitioner
  • Sterling Heights, MI
National Provider Identifier
1609363431
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
470429546 Issued in MI
Practice address
33464 Schoenherr Rd Ste 160
Sterling Heights, MI 48312-6392
Phone
(586) 585-6500
NPI assigned
Apr 17, 2018
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 470429546 MI Primary

Addresses

Primary practice location

33464 Schoenherr Rd Ste 160
Sterling Heights, MI 48312-6392

Mailing address

33464 Schoenherr Rd Ste 160
Sterling Heights, MI 48312-6392
Phone (586) 585-6500

Other practice location 1

28477 Hoover Rd
Warren, MI 48093-5400
Phone (586) 250-4040

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
I20180531001931 MI Practitioner - Nurse Practitioner 8224393889 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Healthcare PLLCGroup PAC ID 5496144180, 2 clinicians

Practice addresses (Care Compare)

33464 Schoenherr Rd
Suite 160
Sterling Heights, MI 48312-6392
Phone (586) 585-6500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
470429546MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC CurrentSince Dec 15, 2018 Accepting new patients
Dynamic Healthcare PLLC CurrentSince Nov 30, 2021 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Dec 15, 2018 Accepting new patients
Priti Bhardwaj MD PC PastSince Apr 24, 2018 Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

33464 Schoenherr Rd
Ste 160
Sterling Hts, MI 48312
Phone (586) 258-3775

28477 Hoover Rd
Warren, MI 48093
Phone (586) 250-4040

Interoperability endpoints

  • Direct secure messaging: dynamichealthcare.calliberman@150769.advancedmd-direct.com

Organizations & group practices 5

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": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1609363431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33464 SCHOENHERR RD STE 160",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126392",
            "telephone_number": "586-585-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33464 SCHOENHERR RD STE 160",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483126392",
            "telephone_number": "586-585-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28477 Hoover Rd",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "MI",
            "postal_code": "480935400",
            "country_code": "US",
            "telephone_number": "586-250-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERMAN",
        "first_name": "CALLI",
        "middle_name": "SMENNER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "470429546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.