Active NPI
Carolann Rose Sheaffer-Hoffman
- Medical Physician Assistant
- Charlevoix, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- Practice address
- 14705 W Upright St
Charlevoix, MI 49720-1949 - Phone
- (231) 547-8521
- NPI assigned
- Dec 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Primary |
Addresses
Primary practice location
14705 W Upright St
Charlevoix, MI 49720-1949
Mailing address
14705 W Upright St
Charlevoix, MI 49720-1949
Phone (231) 547-8521
Other practice location 1
14734 Park Ave
Charlevoix, MI 49720-1927
Phone (231) 547-6554
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Healthcare Charlevoix Hospital | Current | Accepting new patients |
Locations
14709 W Upright St
Charlevoix, MI 49720
Phone (231) 547-6519
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
14734 Park Ave
Charlevoix, MI 49720
Phone (231) 547-4024
14705 W Upright St
Charlevoix, MI 49720
Phone (231) 547-6519
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Interoperability endpoints
- csheafferhoffman810433@direct.ochin.org
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Petoskey, MI
- NPI 1124052816
-
- Pediatrics Physician
- Charlevoix, MI
- NPI 1326124058
-
- Family Medicine Physician
- Charlevoix, MI
- NPI 1972367043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710028800000",
"number": "1699487900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14705 W UPRIGHT ST",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201949",
"telephone_number": "231-547-8521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14705 W UPRIGHT ST",
"city": "CHARLEVOIX",
"state": "MI",
"postal_code": "497201949",
"telephone_number": "231-547-8521"
}
],
"practiceLocations": [
{
"address_1": "14734 Park Ave",
"address_purpose": "LOCATION",
"city": "Charlevoix",
"state": "MI",
"postal_code": "497201927",
"country_code": "US",
"telephone_number": "231-547-6554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEAFFER-HOFFMAN",
"first_name": "CAROLANN",
"middle_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-19",
"last_updated": "2024-03-10",
"certification_date": "2024-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlevoix, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.