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SHERRILL D BUSBOOM PA
NPI 1720046626
Physician Assistant - Medical in Wyoming, MI

Active since May 02, 2006PECOS Enrolled
2093 HEALTH DR SW STE 100, WYOMING, MI 49519(616) 252-7264(616) 252-6977 Get Directions Write a Review

NPPES record last updated: July 23, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2018, Mar 17, 2018, Dec 5, 2017 (3 updates tracked since 2017).

About Sherrill D Busboom Pa NPPES

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

SHERRILL D BUSBOOM PA (NPI 1720046626) is an individual medical provider in Wyoming, Michigan, licensed in Michigan (5601001603) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portage.

NPPES Registry Identity

NPI1720046626
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHERRILL D BUSBOOMCredential: PA
Location Address2093 HEALTH DR SW STE 100Wyoming, MI 49519
Mailing Address5900 Byron Center Ave Sw, Medical AdministrationWyoming, MI 49519-9606 · (616) 252-3243 · Fax (616) 252-0260
Phone(616) 252-7264
Fax(616) 252-6977
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateJuly 23, 20183 updates tracked since enumeration
✔ NPI 1720046626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MI · 5601001603
Also ListedPhysician AssistantTaxonomy 363A00000X · License 5601001603 (MI)
2093 HEALTH DR SW STE 100, Wyoming, MI 49519
Open in Google Maps ↗

Secondary Practice Location 1

Location 13200 W Centre Ave, Suite 203Portage, MI 49024-4889 · Phone (269) 324-0799 · Fax (269) 324-8013

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sherrill D Busboom Pa 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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
19 suppliers84 claims84 services$34.85 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers54 claims54 services$80.46 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
15 suppliers52 claims123 services$31.52 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers24 claims120 services$14.66 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
11 suppliers22 claims114 services$14.69 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
16 suppliers52 claims52 services$50.74 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sherrill Busboom's NPI number?

The NPI number for Sherrill Busboom is 1720046626. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Sherrill Busboom located?

Sherrill Busboom practices at 2093 Health Dr SW Ste 100, Wyoming, MI 49519. The listed phone number is (616) 252-7264.

What is Sherrill Busboom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sherrill Busboom enrolled in Medicare?

Yes. Sherrill Busboom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sherrill Busboom was last updated on July 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.