SHERWIN GUIMALAN HISONA
NPI 1235726399
Nurse Practitioner in Southgate, MI
About Sherwin Guimalan Hisona NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHERWIN GUIMALAN HISONA (NPI 1235726399) is an individual nurse practitioner in Southgate, Michigan, licensed in Michigan (4704246725) and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Sherwin Guimalan Hisona is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
3Medicare enrollment records show Sherwin Hisona reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Garden City, MI 48135
- Reassigned Medicare billing, Michigan enrollment
- 17 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 1,030 clinicians in this Medicare group
Farmington Hills, MI 48334
- Reassigned Medicare billing, Michigan enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital - Dearborn
Acute Care Hospitals · Dearborn, MIGarden City Hospital
Acute Care Hospitals · Garden City, MIBeaumont Hospital - Taylor
Acute Care Hospitals · Taylor, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sherwin Hisona's NPI number?
The NPI number for Sherwin Hisona is 1235726399. It was assigned to this individual provider in the NPPES registry on December 23, 2020.
Where is Sherwin Hisona located?
Sherwin Hisona practices at 15305 Oakleigh, Southgate, MI 48195. The listed phone number is (173) 428-7213.
What is Sherwin Hisona's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Sherwin Hisona enrolled in Medicare?
Yes. Sherwin Hisona is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Sherwin Hisona's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sherwin Hisona reassigns Medicare benefits to 3 organizations: Apollo Hospitalist Group (Garden City, MI), Beaumont Medical Group- Specialty Services (Royal Oak, MI) and M & l Quality Of Life Plc (Farmington Hills, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sherwin Hisona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sherwin Hisona accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Sherwin Hisona as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Sherwin Hisona affiliated with any hospitals?
According to CMS data, Sherwin Hisona is affiliated with Beaumont Hospital - Dearborn, Garden City Hospital and Beaumont Hospital - Taylor.
When was this NPI record last updated?
The NPPES record for Sherwin Hisona was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sherwin Guimalan Hisona · NPI 1235726399
Nurse Practitioner physician in Southgate, Michigan. Individual provider, active in the CMS NPPES registry since December 23, 2020.
## Identity
- **NPI:** 1235726399 (Entity type: Individual)
- **Enumerated:** December 23, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4704246725 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 15305 OAKLEIGH, Southgate, MI 48195-8532
- **Phone:** (173) 428-7213
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Apollo Hospitalist Group (NPI 1548978794, Garden City, MI); Beaumont Medical Group- Specialty Services (NPI 1578072906, Royal Oak, MI); M & l Quality Of Life Plc (NPI 1932733383, Farmington Hills, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1235726399) · Data from the CMS NPPES public registry.