Individual provider Active NPI

Sherrie Lynn Bencik, MD

  • Emergency Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1952539462
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
1655 Issued in WI
Practice address
125 S Kalamazoo Mall Ste 204
Kalamazoo, MI 49007-4869
Phone
(269) 343-3900
NPI assigned
Jun 24, 2009
Last updated
Mar 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301094855 MI
Emergency Medicine Physician 207P00000X 1655 WI Primary

Addresses

Primary practice location

125 S Kalamazoo Mall Ste 204
Kalamazoo, MI 49007-4869

Mailing address

125 S Kalamazoo Mall Ste 204
Kalamazoo, MI 49007-4869
Phone (269) 343-3900

Other identifiers 1

IdentifierTypeStateIssuer
100190383MedicaidWV

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sbencik363544@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20121210000131 MI Practitioner - Emergency Medicine 6901058429 Reassigns benefits to 2 organizations
I20220114001035 WI Practitioner - Emergency Medicine 6901058429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Wisconsin School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

2414 Kohler Memorial Dr
Sheboygan, WI 53081-3129
Phone (920) 457-4461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1655WIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Michigan Emergency Services, PC CurrentSince Oct 1, 2012 Accepting new patients
MCHS Hospitals Inc Emergency Medicine CurrentSince Jan 20, 2022 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Feb 24, 2023 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Feb 24, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Jan 20, 2022 Accepting new patients
Covenant Medical Center, Inc CurrentSince Sep 2, 2021 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Sep 2, 2021 Accepting new patients
Marshfield Clinic Inc CurrentSince Jan 20, 2022 Accepting new patients
Covenant Medical Center, Inc. Emergency Medicine Current Accepting new patients

Locations

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

16440 Gratiot Rd
Hemlock, MI 48626
Phone (989) 583-0660

125 S Kalamazoo Mall
Ste 204
Kalamazoo, MI 49007
Phone (269) 343-3900

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

408 Hazen St
Paw Paw, MI 49079
Phone (269) 341-8481

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

5570 State St
Ste 2
Saginaw, MI 48603
Phone (989) 583-0100

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2600 Kiley Way
Plymouth, WI 53073
Phone (920) 449-7000

2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 457-4461

Interoperability endpoints

  • Direct secure messaging: sherrie.bencik@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1952539462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S KALAMAZOO MALL STE 204",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074869",
            "telephone_number": "269-343-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S KALAMAZOO MALL STE 204",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490074869",
            "telephone_number": "269-343-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENCIK",
        "first_name": "SHERRIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-24",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301094855",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "1655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100190383",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sbencik363544@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "125 S Kalamazoo Mall Ste 204",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490074869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "125 S Kalamazoo Mall Ste 204",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490074869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.