SHANNON L MEADE (PA) – Radiation Oncology Physician, NPI 1629094388

SHANNON L MEADE (PA) is a healthcare provider. based in Grosse pointe woods, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 004488 (MI). The NPI Number for SHANNON L MEADE (PA) is 1629094388

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON L MEADE (PA)
NPI
1629094388
Phone
(313) 647-3100
Address
19229 MACK AVE
Enumeration Date
14 July 2006
Last Update Date
28 October 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2488444000
Graduation Year
2005 (21 years ago)
PAC ID
6507894268
Group Practice PAC ID
6901973759
Professional Enrollment ID
I20050803000170
Address ID
MI483093767RO1901XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for SHANNON L MEADE (PA)

  • 19229, Mack Avenue, Grosse Pointe Woods, Wayne County, Michigan, 48236, United States

    STE 10

    GROSSE POINTE WOODS, MI 48236

    Phone: (313) 647-3100

    Fax: (313) 647-3111

    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: 2005-08-03

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
I20050803000170IPhysician 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
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2626$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes1818$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1512$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 48236)

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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: 6901973759View full group profile
NameSpecialtyState
Radiation OncologyMI
Radiation OncologyMI
-MI
Radiation OncologyMI

Reviews

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Frequently asked questions

What NPI should I save for SHANNON L MEADE (PA)?
Save NPI 1629094388 if you need a stable reference for SHANNON L MEADE (PA).
Is SHANNON L MEADE (PA) currently active in the NPI registry?
CMS-published data lists SHANNON L MEADE (PA) as an active registrant.
What field does SHANNON L MEADE (PA) work in?
You can think of SHANNON L MEADE (PA) as practicing within Radiation Oncology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for SHANNON L MEADE (PA)?
The page summarizes Grosse Pointe Woods, Michigan for SHANNON L MEADE (PA); 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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