MS. HOLLY J SHANK (PA C) – Physician Assistant, NPI 1972577583
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| Lilly USA, LLC | $126 |
| ImmunoGen, Inc. | $69 |
| GENZYME CORPORATION | $64 |
| AstraZeneca Pharmaceuticals LP | $36 |
| JAZZ PHARMACEUTICALS INC. | $35 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100603000289 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 75 | 51 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 60 | 36 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 15 | 14 | $0 |
Insurance plans in this area (ZIP 48888)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| 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 Y | MI | |
| - | MI | |
| Nurse Practitioner | GA | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Nurse Practitioner | MI | |
| - | MI | |
| - | MI | |
| Family Practice | MI |
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