Individual provider Active NPI

Sharon Chan Sikkelee, PA-C

  • Physician Assistant
  • Warren, MI
National Provider Identifier
1710924550
Registry record updated Jan 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601003718 Issued in MI
Practice address
26000 Hoover Rd Ste 105
Warren, MI 48089-1167
Phone
(586) 722-0707
NPI assigned
Jun 1, 2006
Last updated
Jan 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601003718 MI Primary

Addresses

Primary practice location

26000 Hoover Rd Ste 105
Warren, MI 48089-1167

Mailing address

26000 Hoover Rd Ste 105
Warren, MI 48089-1167
Phone (586) 722-0707

Other practice location 1

30955 Woodward Ave Ste 705
Royal Oak, MI 48073-0804
Phone (248) 965-8793

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
I20061002000642 MI Practitioner - Physician Assistant 3072518752 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hoover Urgent Care of Warren PLLCGroup PAC ID 6204073752, 38 clinicians

Practice addresses (Care Compare)

26000 Hoover Rd
Warren, MI 48089-1167
Phone (586) 722-0707

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstreet Urgent Care of Michigan CurrentSince Sep 10, 2023 Accepting new patients
Wellstreet Urgent Care of Michigan PastSince Aug 6, 2023 Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients
First Choice Medical Group PLLC Past Accepting new patients

Locations

30955 Woodward Ave
Ste 705
Royal Oak, MI 48073
Phone (248) 965-8793

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674345600000",
    "number": "1710924550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD STE 105",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167",
            "telephone_number": "586-722-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26000 HOOVER RD STE 105",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480891167",
            "telephone_number": "586-722-0707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30955 Woodward Ave Ste 705",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480730804",
            "country_code": "US",
            "telephone_number": "248-965-8793",
            "fax_number": "248-965-8794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIKKELEE",
        "first_name": "SHARON",
        "middle_name": "CHAN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2023-01-22",
        "certification_date": "2023-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601003718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.