Individual provider Active NPI

Sheri Anne Clements, PA-C

  • Surgical Physician Assistant
  • Waterford, MI
National Provider Identifier
1962590737
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5601003535 Issued in MI
Practice address
5220 Highland Rd
Suite 210
Waterford, MI 48327-1975
Phone
(248) 383-1030
Fax
(248) 383-1031
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 5601003535 MI Primary

Addresses

Primary practice location

5220 Highland Rd
Suite 210
Waterford, MI 48327-1975

Mailing address

5220 Highland Rd
Suite 210
Waterford, MI 48327-1913
Phone (248) 383-1030

Other identifiers 1

IdentifierTypeStateIssuer
1456318220OtherMIBCBSM

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
I20070625000049 MI Practitioner - Physician Assistant 7810096377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michigan Neurosurgical Specialists PCGroup PAC ID 2163444571, 7 clinicians

Practice addresses (Care Compare)

5220 Highland Rd
Suite 210
Waterford, MI 48327-1973
Phone (248) 383-1030

Hospital & facility affiliations

  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Trinity Health Oakland Hospital Hospital, Pontiac, MI, CCN 230029
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601003535MIMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Health One Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sheri.clements.1@12951.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1962590737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 HIGHLAND RD",
            "address_2": "SUITE 210",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271913",
            "telephone_number": "248-383-1030",
            "fax_number": "248-383-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 HIGHLAND RD",
            "address_2": "SUITE 210",
            "city": "WATERFORD",
            "state": "MI",
            "postal_code": "483271975",
            "telephone_number": "248-383-1030",
            "fax_number": "248-383-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "SHERI",
        "middle_name": "ANNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MI",
            "license": "5601003535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "1456318220",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, MI

Sources for this page

Verify at the official NPI Registry.