DANIELLE MARIE SHAHOLLI (PA-C) – Physician Assistant, NPI 1205119039

DANIELLE MARIE SHAHOLLI (PA-C) is a healthcare provider. based in Muskegon, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 5601006207 (MI). The NPI Number for DANIELLE MARIE SHAHOLLI (PA-C) is 1205119039

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
DANIELLE MARIE SHAHOLLI (PA-C)
NPI
1205119039
Phone
(231) 739-9492
Address
1301 MERCY DR
Enumeration Date
28 September 2011
Last Update Date
7 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106061660
Graduation Year
2011 (15 years ago)
PAC ID
6800061789
Group Practice PAC ID
7517224934
Professional Enrollment ID
I20111203000168
Address ID
MI484392558GR600XXBLVD407
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

6,069 PHYSICIAN ASSISTANT in MI

Provider Addresses for DANIELLE MARIE SHAHOLLI (PA-C)

  • 1301 MERCY DR

    MUSKEGON, MI 494441837

    Phone: (231) 739-9492

    Fax: (231) 739-8932

    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 37 Open Payments records for all available years, with a total value of $1,074.

Total Amount is formed as General ($1,074) + Research ($0) + Ownership ($0) = $1,074.

Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($292).

Total Amount

$1,074

General + Research + Ownership

Payments

37

Total payment records

General Amount

$1,074

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-02

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: 2011-12-03

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
I20111203000168IPhysician 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 minutes259214$0
99214Established patient office or other outpatient visit, 30-39 minutes7166$0
99203New patient office or other outpatient visit, 30-44 minutes2020$0
99204New patient office or other outpatient visit, 45-59 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 49444)

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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: 7517224934View full group profile
NameSpecialtyState
-MI
Vascular SurgeryMI
Nurse PractitionerMI
Physician AssistantMI
Vascular Surgery, General SurgeryMI

Reviews

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Frequently asked questions

What number should I use to identify DANIELLE MARIE SHAHOLLI (PA-C) for billing?
Administrative and clinical systems typically use NPI 1205119039 for DANIELLE MARIE SHAHOLLI (PA-C).
Quick check: is DANIELLE MARIE SHAHOLLI (PA-C) active?
Public NPPES data shows DANIELLE MARIE SHAHOLLI (PA-C) with an active NPI status right now.
What services align with DANIELLE MARIE SHAHOLLI (PA-C)'s listing?
DANIELLE MARIE SHAHOLLI (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit DANIELLE MARIE SHAHOLLI (PA-C) in Muskegon, Michigan?
For routing, start with Muskegon, Michigan for DANIELLE MARIE SHAHOLLI (PA-C), then verify phone and hours locally.
Can I export DANIELLE MARIE SHAHOLLI (PA-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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