MRS. SHAUNNAH E ANDERSON (PA-C) – Physician Assistant, NPI 1184696130

MRS. SHAUNNAH E ANDERSON (PA-C) is a healthcare provider. based in Rochester, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601004229 (MI). The NPI Number for MRS. SHAUNNAH E ANDERSON (PA-C) is 1184696130

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHAUNNAH E ANDERSON (PA-C)
NPI
1184696130
Phone
(248) 650-2400
Address
1135 W UNIVERSITY DR STE 450
Enumeration Date
3 February 2006
Last Update Date
16 June 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3139162600
Graduation Year
2003 (23 years ago)
PAC ID
3577552207
Group Practice PAC ID
0547178311
Professional Enrollment ID
I20040508000186
Address ID
MI482022608DE2799XBLVD400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

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Provider Addresses for MRS. SHAUNNAH E ANDERSON (PA-C)

  • 450, West University Drive, Rochester, Oakland County, Michigan, 48307, United States

    ROCHESTER, MI 483071871

    Phone: (248) 650-2400

    Fax: (248) 453-0000

    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)

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: 2004-05-08

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
I20040508000186IPhysician 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 minutes1414$0
99214Established patient office or other outpatient visit, 30-39 minutes1111$0
99442Telephone medical discussion with physician, 11-20 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 48307)

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Provider's Procedures

MRS. SHAUNNAH E ANDERSON (PA-C) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMI20610Aspiration and/or injection of large joint or joint capsule9868
PHYSICIAN ASSISTANTMI27447Repair of knee joint4444
PHYSICIAN ASSISTANTMI73562X-ray of knee, 3 views6053

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: 0547178311View full group profile
NameSpecialtyState
-MI
Gastroenterology, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)MI
Clinical Social WorkerMI
-MI
Physician AssistantMI
Qualified AudiologistMI
O P H T H A L M O L O G YMI
-MI
-MI

Reviews

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Frequently asked questions

What federal number belongs to MRS. SHAUNNAH E ANDERSON (PA-C)?
The federal identifier for MRS. SHAUNNAH E ANDERSON (PA-C) is NPI 1184696130.
Is MRS. SHAUNNAH E ANDERSON (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize MRS. SHAUNNAH E ANDERSON (PA-C)'s specialty in plain language?
Clinically, the directory lists MRS. SHAUNNAH E ANDERSON (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. SHAUNNAH E ANDERSON (PA-C)?
The page summarizes Rochester, Michigan for MRS. SHAUNNAH E ANDERSON (PA-C); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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