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SHERYL LYNN SHOEBOTTOM ACNP-BC
NPI 1629373253
Nurse Practitioner - Acute Care in Mount Clemens, MI

Active since January 12, 2011PECOS Enrolled
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043(586) 493-8000 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Sheryl Lynn Shoebottom Acnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHERYL LYNN SHOEBOTTOM ACNP-BC (NPI 1629373253) is an individual acute care provider in Mount Clemens, Michigan, licensed in Michigan (4704181141) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629373253
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSHERYL LYNN SHOEBOTTOMCredential: ACNP-BC
Location Address1000 HARRINGTON STMount Clemens, MI 48043-2920
Mailing Address20855 Balinski DrClinton Township, MI 48038-5613 · (586) 466-4985
Phone(586) 493-8000
Sole ProprietorNo
Enumeration DateJanuary 12, 2011
Last NPPES UpdateMarch 13, 2017
✔ NPI 1629373253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in MI · 4704181141
1000 HARRINGTON ST, Mount Clemens, MI 48043
Open in Google Maps ↗

Other Names 1

Former Name (1)Sheryl Shoebottom

Other Identifiers 1

Medicaid1629373253MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheryl Lynn Shoebottom Acnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Sheryl Shoebottom reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mclaren Macomb
Same address
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
Mount Clemens, MI 48043
  • Reassigned Medicare billing, Michigan enrollment
  • 188 clinicians in this Medicare group
NPI 1528002532 (586) 493-8747
Henry Ford Health Macomb Oakland Hospital
7.9 mi
Nurse Practitioner
11800 E 12 MILE RD
Warren, MI 48093
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1134176472 (Michigan)
  • 58 clinicians in this Medicare group
NPI 1578696092 (586) 573-5000
Henry Ford Health Rochester Hospital
14 mi
Psychologist
1101 W UNIVERSITY DR
Rochester, MI 48307
  • Reassigned Medicare billing, Michigan enrollment
  • 9 clinicians in this Medicare group
NPI 1336262427 (248) 652-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEMAR GARDEZI MD
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-3727
WILLIAM B HALACOGLU DO PC
Emergency Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8101
JAVIER ZARATE
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
KRISTIN HOFSTAD PA
Physician Assistant
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ANDREA PERRIN DO
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
JESSICA JOYCE LUTKENHOFF MD
Student in an Organized Health Care Education/Training Program
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
ABIRA MUMTAZ
Internal Medicine
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000
MS. LINDSEY APRIL MCCLAIN CRNA
Nurse Anesthetist, Certified Registered
1000 HARRINGTON ST
MOUNT CLEMENS, MI 48043
Macomb County (586) 493-8000

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 Sheryl Shoebottom's NPI number?

The NPI number for Sheryl Shoebottom is 1629373253. It was assigned to this individual provider in the NPPES registry on January 12, 2011.

Where is Sheryl Shoebottom located?

Sheryl Shoebottom practices at 1000 Harrington St, Mount Clemens, MI 48043. The listed phone number is (586) 493-8000.

What is Sheryl Shoebottom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sheryl Shoebottom enrolled in Medicare?

Yes. Sheryl Shoebottom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sheryl Shoebottom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheryl Shoebottom reassigns Medicare benefits to 3 organizations: Mclaren Macomb (Mount Clemens, MI), Henry Ford Health Macomb Oakland Hospital (Warren, MI) and Henry Ford Health Rochester Hospital (Rochester, 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 Sheryl Shoebottom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheryl Shoebottom accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Sheryl Shoebottom 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.

When was this NPI record last updated?

The NPPES record for Sheryl Shoebottom was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.