MELISA MICHELLE SHAFER (PT) – Physical Therapist, NPI 1730669714

MELISA MICHELLE SHAFER (PT) is a healthcare provider. based in Edwardsburg, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 5501010588 (MI). The NPI Number for MELISA MICHELLE SHAFER (PT) is 1730669714

Main info

Female
29 Years Of Experience
Accepts Medicare Assignment
Name
MELISA MICHELLE SHAFER (PT)
NPI
1730669714
Phone
Not provided
Address
67236 HESS RD
Enumeration Date
18 August 2018
Last Update Date
18 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8668063599
Graduation Year
1997 (29 years ago)
PAC ID
0749606762
Group Practice PAC ID
8325469661
Professional Enrollment ID
I20200820001413
Address ID
AZ85381XXXXPEXXXXXXXXXX00
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for MELISA MICHELLE SHAFER (PT)

  • 67236 HESS RD

    EDWARDSBURG, MI 491128627

    Phone:

    Type: Mailing

  • M 62, Edwardsburg, Ontwa Township, Cass County, Michigan, 49031, United States

    EDWARDSBURG, MI 491129150

    Phone: (269) 663-2201

    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: 2020-08-20

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
I20200820001413IPhysical Therapist In Private PracticeAZTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49112)

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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: 8325469661View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
-CA
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeAZ

Reviews

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Frequently asked questions

What is the 10-digit NPI for MELISA MICHELLE SHAFER (PT)?
MELISA MICHELLE SHAFER (PT) — NPI 1730669714 — is the standard way to identify this listing.
Does CMS list MELISA MICHELLE SHAFER (PT) as active?
Yes — MELISA MICHELLE SHAFER (PT) is active in the NPI listing used on this page.
What healthcare role does MELISA MICHELLE SHAFER (PT) hold?
Scheduling teams often label MELISA MICHELLE SHAFER (PT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
Where should I expect MELISA MICHELLE SHAFER (PT) on a map?
Expect Edwardsburg, Michigan as a primary anchor for MELISA MICHELLE SHAFER (PT) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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