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Alyssa Shaw , PA-C

Physician Assistant β€’ Ann Arbor, MI

Active NPI 1386337988 Individual Practitioner Female Practitioner
Practice location in NPPES

1500 E Medical Center Dr
Ann Arbor, MI 481095000

Call 7349364000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1500 E Medical Center Dr

Ann Arbor, MI 481095000

Telephone 7349364000
Organization at the Same NPPES Address or Phone

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Grand Rapids, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Alyssa Shaw has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Alyssa Shaw as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Ann Arbor and Michigan

614 active clinicians are listed under Physician Assistant with a practice address in Ann Arbor, MI (7,164 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Ann Arbor

20.8% of these 614 clinicians have the CMS telehealth indicator.

67.8% of these 614 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-07-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES MI 5601011816

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20230628003157

Enrollment State Jurisdiction

MI

PECOS Control ID

4486013182

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

35 Michigan St Ne Ste 3003

Grand Rapids, MI 495032528

Phone: 6162672570

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

34 listed
Dr. Patrick Albus , MD

Radiology - Diagnostic Radiology

NPI 1003828922

Doctor of Medicine (M.D.)

Dr. Lawrence An , MD

Internal Medicine

NPI 1003850611

Doctor of Medicine (M.D.)

Dr. Raya Bani Kenana , MD

Internal Medicine

NPI 1003476045

Doctor of Medicine (M.D.)

Denise Berry , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003128356

Certified Registered Nurse Anesthetist

Dr. Ajay Bhasin , MD

Internal Medicine

NPI 1003179912

Doctor of Medicine (M.D.)

Dr. Anne Carlton , MD

Internal Medicine - Rheumatology

NPI 1003436031

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location July 10, 2024

Registered at 1500 E MEDICAL CENTER DR, ANN ARBOR, MI 481095000 (Tel: 7349364000)

πŸ“
Updated Business Mailing Address July 10, 2024

Registered at 3621 S STATE ST, ANN ARBOR, MI 481081633 (Tel: 7346475299)

🏒
Secondary Practice Location Registered July 10, 2024

Additional practice office at 35 Michigan St NE Ste 3003, Grand Rapids, MI 495032528

πŸ“
Updated Practice Location August 11, 2023

Registered at 35 MICHIGAN ST NE STE 3003, GRAND RAPIDS, MI 495032528 (Tel: 6162672570)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2023

Physician Assistant (license number reported to NPPES: MI 5601011816)

βœ…
NPI Profile Active May 30, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 30, 2023

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560 (Tel: 6164866790)

πŸ“
Business Mailing Address (Initial Record) May 30, 2023

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560 (Tel: 6164866790)

πŸ‘€
Provider Name / Credentials (Initial Record) May 30, 2023

Recorded as ALYSSA SHAW, PA-C

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2023

Physician Assistant

🟒
Initial NPI Registration & Enumeration May 30, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386337988
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2023
Last Update: July 10, 2024
Sole Proprietor: No

Other Physician Assistants in Ann Arbor

All Physician Assistants in Ann Arbor

Mailing Address

3621 S State St

Ann Arbor, MI 481081633

Phone: 7346475299

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.