Individual provider Active NPI

Shara Michelle Wohlscheid, PA-C

  • Physician Assistant
  • Mt Pleasant, MI
National Provider Identifier
1972754778
Registry record updated Oct 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601006719 Issued in MI
Practice address
2480 W Campus Dr
Suite 500
Mt Pleasant, MI 48858-5414
Phone
(989) 772-1609
Fax
(989) 773-6279
NPI assigned
Oct 10, 2008
Last updated
Oct 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MAO53727 PA
Physician Assistant 363A00000X 5601006719 MI Primary

Addresses

Primary practice location

2480 W Campus Dr
Suite 500
Mt Pleasant, MI 48858-5414

Mailing address

3380 Blvd of the Allies
Suite 390
Pittsburgh, PA 15213-3125
Phone (412) 641-3665

Other identifiers 1

IdentifierTypeStateIssuer
1174698336MedicaidMI

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
I20131122000729 MI Practitioner - Physician Assistant 6507915527 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2935 Health Pkwy
Mt Pleasant, MI 48858-8931
Phone (989) 772-1609

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601006719MIMDPhysician Assistant
MAO53727PAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Rehabilitation Physicians PLC CurrentSince Aug 14, 2013 Accepting new patients

Locations

2935 Health Pkwy
#P
Mt Pleasant, MI 48858
Phone (989) 772-1609

2480 W Campus Dr
Ste 500
Mt Pleasant, MI 48858
Phone (989) 772-1609

2935 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 772-1609

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1223596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1972754778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3380 BLVD OF THE ALLIES",
            "address_2": "SUITE 390",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152133125",
            "telephone_number": "412-641-3665",
            "fax_number": "412-641-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 W CAMPUS DR",
            "address_2": "SUITE 500",
            "city": "MT PLEASANT",
            "state": "MI",
            "postal_code": "488585414",
            "telephone_number": "989-772-1609",
            "fax_number": "989-773-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLSCHEID",
        "first_name": "SHARA",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-10",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MAO53727",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601006719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174698336",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, MI

Sources for this page

Verify at the official NPI Registry.