MS. HOLLY J SHANK (PA C) – Physician Assistant, NPI 1972577583

MS. HOLLY J SHANK (PA C) is a healthcare provider. based in Stanton, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA C. They hold a License No. 5601003909 (MI). The NPI Number for MS. HOLLY J SHANK (PA C) is 1972577583

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
MS. HOLLY J SHANK (PA C)
NPI
1972577583
Phone
(989) 831-8301
Address
545 North State Rd
Enumeration Date
13 February 2006
Last Update Date
13 February 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9062532685
Graduation Year
2002 (24 years ago)
PAC ID
3476682287
Group Practice PAC ID
8527969922
Professional Enrollment ID
I20100603000289
Address ID
MI497832071SA509XXBLVD305
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

6,066 PHYSICIAN ASSISTANT in MI

Provider Addresses for MS. HOLLY J SHANK (PA C)

  • 545 North State Rd

    Stanton, MI 48888

    Phone: (989) 831-8301

    Fax: (989) 831-4306

    Type: Location

  • Metro Health Hospital, 5900, Byron Center Avenue Southwest, Wyoming, Kent County, Michigan, 49519, United States

    WYOMING, MI 495199606

    Phone: (616) 252-3243

    Fax: (616) 252-0260

    Type: Mailing

  • Health Drive Southwest, Wyoming, Kent County, Michigan, 49518, United States

    WYOMING, MI 495199650

    Phone: (616) 252-4100

    Fax: (616) 252-4480

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 34 Open Payments records for all available years, with a total value of $763.

Total Amount is formed as General ($763) + Research ($0) + Ownership ($0) = $763.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Lilly USA, LLC ($126).

Total Amount

$763

General + Research + Ownership

Payments

34

Total payment records

General Amount

$763

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

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: 2010-06-03

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
I20100603000289IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes7551$0
99215Established patient office or other outpatient visit, 40-54 minutes6036$0
99213Established patient office or other outpatient visit, 20-29 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 48888)

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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: 8527969922View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MI
Certified Registered Nurse Anesthetist (Crna)MI
O B S T E T R I C S/ G Y N E C O L O G YMI
-MI
Nurse PractitionerGA
Certified Registered Nurse Anesthetist (Crna)MI
Nurse PractitionerMI
-MI
-MI
Family PracticeMI

Reviews

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Frequently asked questions

Is there an official ID for MS. HOLLY J SHANK (PA C) in U.S. healthcare records?
The official identifier for MS. HOLLY J SHANK (PA C) is NPI 1972577583.
Is MS. HOLLY J SHANK (PA C) shown as active in public data?
Registry records indicate MS. HOLLY J SHANK (PA C) maintains an active NPI.
What expertise is attributed to MS. HOLLY J SHANK (PA C)?
MS. HOLLY J SHANK (PA C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MS. HOLLY J SHANK (PA C)?
Travel planning: use Stanton, Michigan as the reference point for MS. HOLLY J SHANK (PA C), then confirm.
Can I trust this NPI listing for MS. HOLLY J SHANK (PA C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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