SALLY ANN SHEVLIN (PA-C) – Physician Assistant, NPI 1770840233
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for SALLY ANN SHEVLIN (PA-C)
223 N Park St
Boyne City, MI 497121220
Phone: (231) 582-5314
Type: Location
2585 W Houghton Lake Dr
Prudenville, MI 486519624
Phone: (989) 366-2900
Type: Location
2290 Ogletree Ave Ste 102
Chattanooga, TN 374218828
Phone: (423) 643-3772
Fax: (423) 643-3773
Type: Location
234 Lake St
Roscommon, MI 486539203
Phone: (989) 275-1200
Type: Location
302 Hobart St
Cadillac, MI 496012379
Phone: (231) 876-2664
Type: Location
14705 W Upright St
Charlevoix, MI 497201949
Phone: (231) 547-8544
Type: Location
3860 S Straits Hwy
Indian River, MI 497495146
Phone: (231) 238-0581
Type: Location
14734 Park Ave
Charlevoix, MI 497201927
Phone: (231) 547-6554
Type: Location
829 N Center Ave Ste 130
Gaylord, MI 497351684
Phone: (989) 731-7930
Type: Location
3040 Bourn St
null
Lewiston, MI 49756
Phone: (989) 786-4877
Type: Location
1619 Anderson Rd
Petoskey, MI 497709256
Phone: (231) 417-6050
Fax: (231) 213-8749
Type: Location
1321 S Mount Tom Rd
Mio, MI 486479518
Phone: (989) 344-5820
Type: Location
1200 W North Down River Rd Ste C
Grayling, MI 497388024
Phone: (989) 344-5910
Type: Location
1250 E Michigan Ave
Grayling, MI 497387074
Phone: (989) 348-0550
Type: Location
3074 N US 31 S
Traverse City, MI 496844533
Phone: (231) 929-1234
Type: Location
1996 Walden Dr
Gaylord, MI 497358241
Phone: (989) 731-4111
Type: Location
2290 OGLETREE AVE STE 102
CHATTANOOGA, TN 374218828
Phone: (423) 643-3772
Fax: (423) 643-3773
Type: Location
725 GLENWOOD DR STE 488
CHATTANOOGA, TN 374041173
Phone: (423) 697-0621
Fax: (423) 622-8716
Type: Mailing
550 MUNSON AVE
TRAVERSE CITY, MI 496863580
Phone: (231) 935-8686
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 20 Open Payments records for all available years, with a total value of $377.
Total Amount is formed as General ($377) + Research ($0) + Ownership ($0) = $377.
Last reported payment date: 2024-11-22 • Largest payer in this snapshot: Abbott Laboratories ($116).
Total Amount
$377
General + Research + Ownership
Payments
20
Total payment records
General Amount
$377
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-22
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $116 |
| ABBVIE INC. | $84 |
| Novo Nordisk Inc | $54 |
| Otsuka America Pharmaceutical, Inc. | $49 |
| GlaxoSmithKline, LLC. | $21 |
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: 2024-09-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130311000270 | I | Physician Assistant | TN | TBD |
| I20240906000164 | I | Physician Assistant | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 136 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 123 | 94 | $0 |
| 96127 | Assessment of emotional or behavioral problems | 95 | 57 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 84 | 41 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 72 | 72 | $0 |
Insurance plans in this area (ZIP 49712)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | TN | 81002 | Urinalysis, manual test | 197 | 77 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | TN | |
| - | PA | |
| - | TN | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | TN | |
| - | TN | |
| Nurse Practitioner | TN |
Reviews
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