Active NPI
Shaidan Reece Leach
- Physician Assistant
- Battle Creek, MI
National Provider Identifier
1154287878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 3790 Capital Ave SW
Battle Creek, MI 49015-8332 - Phone
- (269) 979-6310
- NPI assigned
- Dec 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MI | Primary |
Addresses
Primary practice location
3790 Capital Ave SW
Battle Creek, MI 49015-8332
Mailing address
7937 Chippewa St
Portage, MI 49024-4878
Phone (269) 352-7019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Central Michigan College of Medicine, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7937 Chippewa St
Portage, MI 49024-4878
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHC PC | Physician Assistant | Current | Accepting new patients |
Locations
3790 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 979-6310
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1766707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1154287878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7937 CHIPPEWA ST",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490244878",
"telephone_number": "269-352-7019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3790 CAPITAL AVE SW",
"city": "BATTLE CREEK",
"state": "MI",
"postal_code": "490158332",
"telephone_number": "269-979-6310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEACH",
"first_name": "SHAIDAN",
"middle_name": "REECE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-12-26",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Battle Creek, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.