Active NPI
Sheri Anne Clements, PA-C
- Surgical Physician Assistant
- Waterford, MI
National Provider Identifier
1962590737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 5601003535
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1456318220 | Other | MI | BCBSM |
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
Enrollment records 1
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
Practice addresses (Care Compare)
5220 Highland Rd
Suite 210
Waterford, MI 48327-1973
Phone (248) 383-1030
Hospital & facility affiliations
- Beaumont Hospital, Troy
- Trinity Health Oakland Hospital
- McLaren Oakland
- Beaumont Hospital Royal Oak
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601003535 | MI | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health One Medical Center | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Clinic/Center
- Waterford, MI
- NPI 1295871770
-
- Family Medicine Physician
- Lincoln Park, MI
- NPI 1316997422
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1376564088
-
- General Acute Care Hospital
- Pontiac, MI
- NPI 1053356352
-
- General Acute Care Hospital
- Troy, MI
- NPI 1306825997
-
- General Acute Care Hospital
- Royal Oak, MI
- NPI 1689653305
-
- General Acute Care Hospital
- Grosse Pointe, MI
- NPI 1932396017
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.