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NPI · 1245006709 · NPPES-sourced

Shelby Petersen

ActivePhysician Assistant
NPI Number
1245006709
Type 1 · Individual
Taxonomy Code
363A00000X
Contact
(822) 061-6988
License MI · 5601012426
Last Updated
Enumerated
Primary practice addressMI · 49546-2416
4100 Embassy Dr Se Ste 400Grand Rapids, MI 49546-2416
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About this NPIWhat this record shows.

NPI 1245006709 is registered to Shelby Petersen, a Physician Assistant practising at 4100 Embassy Dr Se Ste 400 in Grand Rapids, Michigan. Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Shelby Petersen has been enumerated in the National Provider Identifier (NPI) registry since 2023.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Shelby Petersen accepts. To confirm in-network status with your specific health plan, contact Shelby Petersen directly at (822) 061-6988.

Frequently asked

Yes. NPI 1245006709 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physician Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (822) 061-6988.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Shelby Petersen is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy363A00000X
Last updated
Enumerated
StatusActive
Partneri
partner offer
Tools for healthcare teams.
Curated partner offers for clinics and front-desk staff.
Explore partners →
Affiliate placement. We may earn a commission.
Sponsored

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