Regents of the University of Michigan
Organization Active NPI Physician Assistant · Ann Arbor, MI
NPI 1689609448 · NPPES record last updated May 3, 2021
Key facts
- NPI
- 1689609448
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physician Assistant 363A00000X
- Legal business name
- REGENTS OF THE UNIVERSITY OF MICHIGAN
- Practice address
- 1500 E Medical Center Dr
Ann Arbor, MI 48109-5000 - Phone
- (734) 936-4000
- NPI assigned
- Jul 11, 2006
- Organization subpart
- No
Authorized official
- Name
- David Christopher Miller
- Title
- President
- Phone
- (734) 936-3568
Other NPIs on the same Medicare enrollment 1
Practitioners 482
-
Sarah Elizabeth Abdella, PA-C
-
Erin Elizabeth Ackert, PA-C
-
Jinane Hassan Ahmad, PA-C
-
Jonathan Curtis Albers, PA-C
-
Jennifer Lynn Aldea, PA-C
-
Leena Alhawati, PA-C
-
Breann Alyssa Allen, PA-C
-
Lauren Elizabeth Allen, PA-C
-
Amanda Marie Ashe, PA-C
-
Alison Gail Badger, PA-C
-
Eoin S Barry, PA-C
-
Candice Marie Beardslee, PA-C
-
Katherine Irene Bechard, PA-C
-
Katelyn Marie Bergeron, PA-C
-
Aron T Berhane, PA-C
-
Kellie Jasmine Blank, PA-C
-
Kimberly Boi, PA-C
-
Megan Lindsay Bolen, PA-C
-
Kerry L Bondy, PA
-
Kellie Marie Bowen, PA-C
-
Beverly Ann Bowman, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI
All facility ownership & control disclosures 17
| Facility | Type | Role | Since |
|---|---|---|---|
| University of Michigan Health-Sparrow Eaton |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health - West |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Dec 15, 2016 |
| University of Michigan Health-Sparrow Lansing |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Ionia |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2024 |
| University of Michigan Health-Sparrow |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| Chelsea Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (49%) | Jul 1, 2018 |
| Chelsea Hospital |
Hospital | 5% Or Greater Direct Ownership Interest (49%) | Jul 1, 2018 |
| University of Michigan Health-Sparrow |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Carson |
Hospital | 5% Or Greater Indirect Ownership Interest (100%) | Mar 1, 2025 |
| University of Michigan Health-Sparrow |
Hospice | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Ionia |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Ithaca Primary Care |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Portland Primary Care |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
| University of Michigan Health-Sparrow Saranac Primary Care |
Rural health clinic | 5% Or Greater Indirect Ownership Interest (100%) | Apr 1, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031121000747 | MI | Part B Supplier - Clinic/Group Practice | 3779496856 |
Receives reassigned benefits from 472 practitioners 1 other NPI on this enrollment Practice locations: Canton, MI; Chelsea, MI; Dexter, MI; Livonia, MI; Northville, MI; Saline, MI; Ypsilanti, MI; Ann Arbor, MI |
| O20061214000288 | MI | Part B Supplier - Clinic/Group Practice | 3779496856 |
Receives reassigned benefits from 45 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Brighton, MI; Muskegon, MI |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant |
363A00000X | Yes | ||
| Medical Physician Assistant |
363AM0700X | |||
| Surgical Physician Assistant |
363AS0400X |
Addresses
Primary practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Mailing address
3621 S State St
Provider Enrollment
Ann Arbor, MI 48108
Phone (734) 647-5299
Other providers in Ann Arbor, MI
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
- Regents of the University of Michigan
All providers in Ann Arbor, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.