NPIMap

Individual provider Active NPI

Hillary A Roberson, PA-C

  • Medical Physician Assistant
  • Muskegon, MI
National Provider Identifier
1881078137
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601007352 Issued in MI
Practice address
1675 Leahy St Ste 301
Muskegon, MI 49442-5543
Phone
(231) 672-8300
Fax
(231) 672-8310
NPI assigned
Jul 16, 2015
Last updated
Dec 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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 5601007352 MI Primary

Addresses

Primary practice location

1675 Leahy St Ste 301
Muskegon, MI 49442-5543

Mailing address

PO Box 1848
Muskegon, MI 49443-1848
Phone (231) 672-8300

Other practice location 1

1560 E Sherman Blvd
West Shore Professional Building Suite 240
Muskegon, MI 49444-1867
Phone (231) 672-3883

Other names 1

  • Hillary Berry Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hroberson36643@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805006370 MI Practitioner - Physician Assistant 5799099792 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Partners - Physician SpecialistGroup PAC ID 2163572991, 66 clinicians

Practice addresses (Care Compare)

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-3027

1675 Leahy St
Suite 301a
Muskegon, MI 49442-5543
Phone (231) 672-8300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601007352MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
West Shore Cardiology, PLC Past Accepting new patients
Advantage Health Saint Mary's Medical Group PastSince Dec 26, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hroberson36643@direct.trinity-health.org

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 1

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": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1881078137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494431848",
            "telephone_number": "231-672-8300",
            "fax_number": "231-672-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST STE 301",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425543",
            "telephone_number": "231-672-8300",
            "fax_number": "231-672-8310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1560 E Sherman Blvd",
            "address_2": "West Shore Professional Building Suite 240",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441867",
            "country_code": "US",
            "telephone_number": "231-672-3883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERSON",
        "first_name": "HILLARY",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-16",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601007352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hroberson36643@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mercy Health Physician Partners",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Office",
            "address_1": "1675 Leahy St Ste 301",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494425543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HILLARY",
            "last_name": "BERRY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.