Individual provider Active NPI

Sithara Jaison, N.P

  • Family Nurse Practitioner
  • Whitmore Lake, MI
National Provider Identifier
1982094074
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704268025 Issued in MI
Practice address
426 Westbrook
Whitmore Lake, MI 48189-8211
Phone
(734) 550-2002
NPI assigned
Jan 28, 2015
Last updated
Feb 20, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 4704268025 MI
Family Nurse Practitioner 363LF0000X 4704268025 MI Primary

Addresses

Primary practice location

426 Westbrook
Whitmore Lake, MI 48189-8211

Mailing address

426 Westbrook
Whitmore Lake, MI 48189-8211

Other names 1

  • Sithara Antony Former name

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
I20150327001967 MI Practitioner - Nurse Practitioner 7113244336 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mi Pacs 2 PCGroup PAC ID 2264831577, 18 clinicians
Michigan Post-Acute Medical Services 1 PCGroup PAC ID 2163798877, 25 clinicians

Practice addresses (Care Compare)

202 S Bridge St
Linden, MI 48451-8805
Phone (810) 735-9500

2140 Robinson Rd
Jackson, MI 49203-3798
Phone (517) 750-4018

22600 W Main St
Armada, MI 48005-3237
Phone (734) 508-4569

625 36TH St SW
Wyoming, MI 49509-4004
Phone (616) 531-0200

703 Robinson Rd
Jackson, MI 49203-2538
Phone (517) 787-5140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.71 of 100Reported as individual
Quality
89.17
Improvement activities
40
Cost
78.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704268025MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mi Pacs 2 PC CurrentSince Jun 18, 2021 Accepting new patients
Michigan Post-Acute Medical Services 1 PC CurrentSince Sep 11, 2017 Accepting new patients
Inpatient Consultants of Michigan PC CurrentSince Nov 15, 2017 Accepting new patients
CS Pacs 3 Midwest LLC CurrentSince Oct 21, 2024 Accepting new patients

Locations

22600 W Main St
Armada, MI 48005
Phone (734) 508-4569

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2373

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

12200 Broadbent Rd
Lansing, MI 48917
Phone (517) 731-6200

202 S Bridge St
Linden, MI 48451
Phone (810) 735-9400

36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140

3310 W Commerce Rd
Milford, MI 48380
Phone (248) 685-1400

555 Highland Ave
Milford, MI 48381
Phone (248) 684-1564

6827 Whitehall Rd
Whitehall, MI 49461
Phone (231) 893-8730

625 36th St SW
Wyoming, MI 49509
Phone (517) 481-3715

Interoperability endpoints

  • Direct secure messaging: sjaison823562@direct.hfhs.org

Organizations & group practices 4

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 1

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": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519084800000",
    "number": "1982094074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "426 WESTBROOK",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481898211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 WESTBROOK",
            "city": "WHITMORE LAKE",
            "state": "MI",
            "postal_code": "481898211",
            "telephone_number": "734-550-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAISON",
        "first_name": "SITHARA",
        "credential": "N.P",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2018-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704268025",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704268025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SITHARA",
            "last_name": "ANTONY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whitmore Lake, MI

Sources for this page

Verify at the official NPI Registry.