CAROL ANN SCAMEHORN (PA) – Physician Assistant, NPI 1922133214

CAROL ANN SCAMEHORN (PA) is a healthcare provider. based in Grand blanc, Michigan. specializing in Physician Assistant. They hold the professional credentials PA. They hold a License No. 5601002827 (MI). The NPI Number for CAROL ANN SCAMEHORN (PA) is 1922133214

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
CAROL ANN SCAMEHORN (PA)
NPI
1922133214
Phone
(810) 603-9391
Address
9450 S SAGINAW RD
Enumeration Date
23 February 2007
Last Update Date
20 September 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106039391
Graduation Year
1997 (29 years ago)
PAC ID
5395719868
Group Practice PAC ID
0648294405
Professional Enrollment ID
I20040820000800
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for CAROL ANN SCAMEHORN (PA)

  • 9450 S SAGINAW RD

    SUITE G

    GRAND BLANC, MI 484398206

    Phone: (810) 603-9391

    Fax: (810) 603-9394

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-10-21 • Largest payer in this snapshot: Novo Nordisk Inc ($17).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040820000800IPhysician AssistantMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48439)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648294405View full group profile

Reviews

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Frequently asked questions

How do payers reference CAROL ANN SCAMEHORN (PA)?
For CAROL ANN SCAMEHORN (PA), use NPI 1922133214 as the unique 10-digit identifier.
Is CAROL ANN SCAMEHORN (PA) still an active registrant?
CAROL ANN SCAMEHORN (PA) carries an active NPI according to the public dataset.
How would a patient describe CAROL ANN SCAMEHORN (PA)'s focus?
For CAROL ANN SCAMEHORN (PA), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
Is CAROL ANN SCAMEHORN (PA) located near Grand Blanc?
CAROL ANN SCAMEHORN (PA) currently maps to Grand Blanc, Michigan in this extract.
When was this NPI issued?
Enumeration for CAROL ANN SCAMEHORN (PA) is noted as February 23, 2007 where the registry provides it.

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