Individual provider Active NPI

Serena M Sherry, PA-C

  • Physician Assistant
  • Livonia, MI
National Provider Identifier
1770234189
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601010946 Issued in MI
Practice address
19000 St Joes Pkwy Ste 320
Livonia, MI 48152-1477
Phone
(734) 712-8150
NPI assigned
Jan 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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 5601010946 MI Primary

Addresses

Primary practice location

19000 St Joes Pkwy Ste 320
Livonia, MI 48152-1477

Mailing address

24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240123003355 OH Practitioner - Physician Assistant 0749632966 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osu General Internal Medicine LLCGroup PAC ID 7517103955, 270 clinicians

Practice addresses (Care Compare)

1581 Dodd Dr
Columbus, OH 43210-1257
Phone (614) 688-6492

160 W Wilson Bridge Rd
Suite 100
Worthington, OH 43085-2676
Phone (614) 293-2850

1800 Zollinger Rd
Columbus, OH 43221-2849
Phone (614) 293-7417

2050 Kenny Rd
Columbus, OH 43221-3502
Phone (614) 293-8054

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
50.008499RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Recovery Innovations, Inc CurrentSince Sep 2, 2025 Accepting new patients
Recovery Innovations, Inc. CurrentSince Sep 2, 2025 Accepting new patients
A3 Medical CurrentSince Oct 16, 2022 Accepting new patients
Recovery Innovations, Inc Physician Assistant Past Accepting new patients

Locations

2701 N 16th St
Ste 316
Phoenix, AZ 85006

4050 W Maple Rd
Ste 101
Bloomfld Hls, MI 48301
Phone (248) 385-3412

465 Harmon Ave
Columbus, OH 43223
Phone (614) 222-3737

199 S Central Ave
Columbus, OH 43223
Phone (614) 274-9500

Interoperability endpoints

  • Direct secure messaging: serenasherry@emcuramed.allscriptsdirect.net

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 and National Provider Directory roles.

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1770234189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-747-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19000 ST JOES PKWY STE 320",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481521477",
            "telephone_number": "734-712-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERRY",
        "first_name": "SERENA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601010946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.