Individual provider Active NPI

Megan Marie Sherman, MSN, RN, CPNP-PC

  • Pediatric Nurse Practitioner
  • Grand Blanc, MI
National Provider Identifier
1861035362
Registry record updated Oct 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
201915271 Issued in MI
Practice address
8382 Holly Rd Ste 1
Grand Blanc, MI 48439-1972
Phone
(810) 223-5266
NPI assigned
Oct 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 201915271 MI Primary

Addresses

Primary practice location

8382 Holly Rd Ste 1
Grand Blanc, MI 48439-1972

Mailing address

4524 N Oak Rd
Davison, MI 48423-9393
Phone (810) 223-5266

Other identifiers 1

IdentifierTypeStateIssuer
201915271MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL NONE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
201915271MIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mott Children'S Health Center CurrentSince Sep 15, 2024 Accepting new patients

Locations

806 Tuuri Pl
Flint, MI 48503
Phone (810) 237-7572

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1861035362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4524 N OAK RD",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484239393",
            "telephone_number": "810-223-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8382 HOLLY RD STE 1",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391972",
            "telephone_number": "810-223-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "MEGAN",
        "middle_name": "MARIE",
        "credential": "MSN, RN, CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MI",
            "license": "201915271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201915271",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "NONE",
            "affiliation": "N",
            "address_1": "8382 Holly Rd Ste 1",
            "city": "Grand Blanc",
            "state": "MI",
            "country_code": "US",
            "postal_code": "484391972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.