Individual provider Active NPI

Noelle Scheuer White

  • Physician Assistant
  • Warren, MI
National Provider Identifier
1871116772
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
11900 E 12 Mile Rd Ste 110
Warren, MI 48093-3487
Phone
(586) 261-1960
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 Primary

Addresses

Primary practice location

11900 E 12 Mile Rd Ste 110
Warren, MI 48093-3487

Mailing address

11900 E 12 Mile Rd Ste 110
Warren, MI 48093-3487

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
I20210921002302 MI Practitioner - Physician Assistant 2961809744 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

Practice addresses (Care Compare)

22101 Moross Rd
Detroit, MI 48236-2148
Phone (586) 753-0011

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health St. John Hospital CurrentSince Mar 12, 2024 Accepting new patients
Mendelson Orthopedics PC CurrentSince Sep 27, 2021 Accepting new patients
Henry Ford Health St. John Hospital CurrentSince Mar 12, 2024 Accepting new patients
Mendelson Orthopedics PC CurrentSince Sep 27, 2021 Accepting new patients
St. John Hospital Past Accepting new patients
Mendelson Orthopedics PC Past Accepting new patients

Locations

36750 26 Mile Rd
Ste 140
Chesterfield, MI 48047
Phone (313) 343-7110

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

500 Stephenson Hwy
#300
Troy, MI 48083
Phone (586) 439-6258

11900 E 12 Mile Rd
Ste 110
Warren, MI 48093
Phone (586) 261-1960

Interoperability endpoints

  • Direct secure messaging: nwhite1157453@direct.hfhs.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1871116772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD STE 110",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11900 E 12 MILE RD STE 110",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933487",
            "telephone_number": "586-261-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "NOELLE",
        "middle_name": "SCHEUER",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.