Individual provider Active NPI

Libby Samantha Schoenberg, PA-S

  • Medical Physician Assistant
  • Rochester Hills, MI
National Provider Identifier
1851118806
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
1851118806 Issued in MI
Practice address
633 South Blvd E
Rochester Hills, MI 48307-5364
Phone
(248) 289-6643
NPI assigned
Sep 23, 2024
Last updated
Jun 11, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 1851118806 MI Primary

Addresses

Primary practice location

633 South Blvd E
Rochester Hills, MI 48307-5364

Mailing address

3621 Robina Ave
Berkley, MI 48072-1443
Phone (248) 504-1288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1851118806MIMDMedical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781136000000",
    "number": "1851118806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 ROBINA AVE",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480721443",
            "telephone_number": "248-504-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 SOUTH BLVD E",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075364",
            "telephone_number": "248-289-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENBERG",
        "first_name": "LIBBY",
        "middle_name": "SAMANTHA",
        "name_prefix": "Mrs.",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-23",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "1851118806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.