SHONA RENEE BEDGOOD (PA-C) – Physician Assistant, NPI 1093834822

SHONA RENEE BEDGOOD (PA-C) is a healthcare provider. based in Holland, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601004863 (MI). The NPI Number for SHONA RENEE BEDGOOD (PA-C) is 1093834822

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
SHONA RENEE BEDGOOD (PA-C)
NPI
1093834822
Phone
(616) 394-3788
Address
336 S RIVER AVE
Enumeration Date
29 March 2007
Last Update Date
18 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2006 (20 years ago)
PAC ID
2062593379
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20080112000063
Address ID
MI495084600KE4444XSEXX401

Contacts

Secure Messaging
sbedgood101016@epic00.shdirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/DSTU2/
Secure Messaging
sbedgood101016@epic00.corewelldirect.org
FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for SHONA RENEE BEDGOOD (PA-C)

  • 336 S RIVER AVE

    HOLLAND, MI 494233326

    Phone: (616) 394-3788

    Type: Mailing

  • 100 MICHIGAN ST NE

    MC 845

    GRAND RAPIDS, MI 495032560

    Phone: (616) 486-6790

    Type: Location

  • 4868-2 LAKE MICHIGAN DR

    ALLENDALE, MI 494017415

    Phone: (616) 391-2800

    Type: Location

  • 100 MICHIGAN ST NE # MC845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 15100 WHITTAKER WAY

    GRAND HAVEN, MI 494178696

    Phone: (616) 935-6210

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2008-01-12

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
I20080112000063IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes7271$0
99214Established patient office or other outpatient visit, 30-39 minutes2020$0
81003Automated urinalysis test1919$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 49423)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What number should I use to identify SHONA RENEE BEDGOOD (PA-C) for billing?
Administrative and clinical systems typically use NPI 1093834822 for SHONA RENEE BEDGOOD (PA-C).
Should I treat SHONA RENEE BEDGOOD (PA-C) as an active provider?
Patients and plans typically see SHONA RENEE BEDGOOD (PA-C) as active in the national extract.
Which specialty label fits SHONA RENEE BEDGOOD (PA-C)?
NPPES ties SHONA RENEE BEDGOOD (PA-C) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to SHONA RENEE BEDGOOD (PA-C)?
SHONA RENEE BEDGOOD (PA-C) shows a connection to Holland, Michigan in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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