MR. MICHEAL SHAWN DAWSON (PA-C) – Physician Assistant, NPI 1376853036

MR. MICHEAL SHAWN DAWSON (PA-C) is a healthcare provider. based in Provo, Utah. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 352301-1206 (UT). The NPI Number for MR. MICHEAL SHAWN DAWSON (PA-C) is 1376853036

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. MICHEAL SHAWN DAWSON (PA-C)
NPI
1376853036
Phone
(801) 354-8225
Address
1055 N 500 W
Enumeration Date
15 October 2010
Last Update Date
24 November 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4352074800
Graduation Year
2010 (16 years ago)
PAC ID
2466631429
Group Practice PAC ID
1850209420
Professional Enrollment ID
I20110121000991
Address ID
UT843379356TR935XX1000300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:15State licenses:3Digital endpointsOther names

1,971 PHYSICIAN ASSISTANT in UT

Provider Addresses for MR. MICHEAL SHAWN DAWSON (PA-C)

  • 1055 N 500 W

    ATTN: CREDENTIALING

    PROVO, UT 846043305

    Phone: (801) 354-8225

    Fax: (801) 418-0941

    Type: Mailing

  • 5640 S 3500 W

    ROY, UT 840679158

    Phone: (801) 773-2838

    Fax: (801) 773-3025

    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: 2011-01-21

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
I20110121000991IPhysician AssistantUTTBD

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
93793Anticoagulant management of patient taking warfarin3,205435$0
85610Blood test, clotting time1,829333$0
99214Established patient office or other outpatient visit, 30-39 minutes281260$0
36415Insertion of needle into vein for collection of blood sample212107$0
G0250Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent4431$0
View full utilization report →

Insurance plans in this area (ZIP 84604)

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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: 1850209420View full group profile

Reviews

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Frequently asked questions

What is MR. MICHEAL SHAWN DAWSON (PA-C)'s NPI number?
MR. MICHEAL SHAWN DAWSON (PA-C)'s NPI is 1376853036 — the number used across U.S. healthcare to identify this provider.
Is MR. MICHEAL SHAWN DAWSON (PA-C) shown as active in public data?
Registry records indicate MR. MICHEAL SHAWN DAWSON (PA-C) maintains an active NPI.
What kind of doctor is MR. MICHEAL SHAWN DAWSON (PA-C)?
MR. MICHEAL SHAWN DAWSON (PA-C) is associated with Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
Is MR. MICHEAL SHAWN DAWSON (PA-C) located near Provo?
MR. MICHEAL SHAWN DAWSON (PA-C) currently maps to Provo, Utah in this extract.
Can I trust this NPI listing for MR. MICHEAL SHAWN DAWSON (PA-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.