SHERI ANNE CLEMENTS PA-C
NPI 1962590737
Physician Assistant - Surgical in Waterford, MI

NPI Status: Active since October 10, 2006

Contact Information

5220 HIGHLAND RD
SUITE 210
WATERFORD, MI
ZIP 48327
Phone: (248) 383-1030
Fax: (248) 383-1031

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  • Individual
  • Female
  • Years of Experience 26
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SHERI CLEMENTS

This page provides the complete NPI Profile along with additional information for Sheri Clements, a provider established in Waterford, Michigan with a medical specialization in Physician Assistant, focusing in surgical and more than 26 years of experience. The healthcare provider is registered in the NPI registry with number 1962590737 assigned on October 2006. The practitioner's primary taxonomy code is 363AS0400X with license number 5601003535 (MI). The provider is registered as an individual and her NPI record was last updated 18 years ago.

NPI
1962590737
Provider Name
SHERI ANNE CLEMENTS PA-C
Gender
Female
Entity Type
Individual
Location Address
5220 HIGHLAND RD SUITE 210 WATERFORD, MI 48327
Location Phone
(248) 383-1030
Location Fax
(248) 383-1031
Mailing Address
5220 HIGHLAND RD SUITE 210 WATERFORD, MI 48327
Mailing Phone
(248) 383-1030
Mailing Fax
(248) 383-1031
Medical School Name
OTHER
Graduation Year
2000
Is Sole Proprietor?
No
Enumeration Date
10-10-2006
Last Update Date
07-08-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601003535
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze Saver HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1456318220OTHER (01)MIBCBSM
M99600008MEDICARE PIN (08)MI 

Medicare Participation & PECOS Enrollment Status

Sheri Clements is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Sheri Clements is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7810096377

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20070625000049

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Laminectomy or laminotomy (partial removal of spine bones)

A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.

This service was performed for 1-10 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Sheri Clements is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
TRINITY HEALTH OAKLAND HOSPITAL44405 WOODWARD AVE
PONTIAC, MI 48341
(248) 858-3000Acute Care Hospitals
BEAUMONT HOSPITAL ROYAL OAK3601 W THIRTEEN MILE RD
ROYAL OAK, MI 48073
(248) 898-5000Acute Care Hospitals
MCLAREN OAKLAND50 N PERRY ST
PONTIAC, MI 48342
(248) 338-5000Acute Care Hospitals

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1962590737, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 2 + 2 + 1 + 0 + 9 + 0 + 7 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1962590737.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Neurological Surgery
5220 HIGHLAND RD, SUITE 210
WATERFORD, MI 48327
Obstetrics & Gynecology
5220 HIGHLAND RD, SUITE 230
WATERFORD, MI 48327
Physician Assistant
5220 HIGHLAND RD, SUITE 210
WATERFORD, MI 48327
Clinic/Center (Ambulatory Surgical)
5220 HIGHLAND RD, SUITE 100
WATERFORD, MI 48327
Clinic/Center
5220 HIGHLAND RD, SUITE 210
WATERFORD, MI 48327
Clinic/Center (Ambulatory Surgical)
5220 HIGHLAND RD, SUITE 100
WATERFORD, MI 48327
Anesthesiology
5220 HIGHLAND RD, SUITE 100
WATERFORD, MI 48327
Neurological Surgery
5220 HIGHLAND RD, SUITE 210
WATERFORD, MI 48327
Psychiatry & Neurology (Neurology)
5220 HIGHLAND RD, SUITE 210
WATERFORD, MI 48327
Obstetrics & Gynecology
5220 HIGHLAND RD, SUITE 230
WATERFORD, MI 48327
Physician Assistant
5220 HIGHLAND RD, SUITE 210
WATERFORD, MI 48327
Nurse Practitioner (Family)
5220 HIGHLAND RD, SUITE 230
WATERFORD, MI 48327
Neurological Surgery
5220 HIGHLAND RD
WATERFORD, MI 48327

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962590737, enumerated as an "individual" on October 10, 2006.

The provider is located at 5220 HIGHLAND RD SUITE 210 WATERFORD, MI 48327 and the phone number is (248) 383-1030.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Blue Care Network of Michigan, Blue Cross Blue. Please consult your insurance carrier or call the provider to verify.

Sheri Clements is affiliated with: TRINITY HEALTH OAKLAND HOSPITAL, BEAUMONT HOSPITAL ROYAL OAK and MCLAREN OAKLAND.