Individual provider Active NPI

Ali Shearman

  • Physician Assistant
  • Saint Louis, MO
National Provider Identifier
1942795844
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2018018096 Issued in MO
Practice address
3009 N Ballas Rd Ste 300a
Saint Louis, MO 63131-2354
Phone
(314) 997-7546
NPI assigned
Jun 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

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 2018018096 MO Primary

Addresses

Primary practice location

3009 N Ballas Rd Ste 300a
Saint Louis, MO 63131-2354

Mailing address

385 Round Tower Dr E
Cottleville, MO 63304-0814
Phone (636) 544-3830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190109003041 MO Practitioner - Physician Assistant 6800132952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aesthetic Dermatologic SurgeryGroup PAC ID 5991735078, 2 clinicians

Practice addresses (Care Compare)

3009 N Ballas Rd
Saint Louis, MO 63131-2354
Phone (314) 997-7546

Merit-based Incentive Payment System (MIPS)

Final score
55 of 100Reported as group
Improvement activities
40
Cost
10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018018096MOMDPhysician Assistant

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": "1529884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545350400000",
    "number": "1942795844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 ROUND TOWER DR E",
            "city": "COTTLEVILLE",
            "state": "MO",
            "postal_code": "633040814",
            "telephone_number": "636-544-3830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 N BALLAS RD STE 300A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631312354",
            "telephone_number": "314-997-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEARMAN",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2018018096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.