Individual provider Active NPI

Jonathan Bisson, PA

  • Medical Physician Assistant
  • Shelby, MI
National Provider Identifier
1306555750
Registry record updated Jun 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601011250 Issued in MI
Practice address
119 S State St
Shelby, MI 49455-1243
Phone
(231) 861-2130
NPI assigned
Nov 15, 2022
Last updated
Jun 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601011250 MI Primary

Addresses

Primary practice location

119 S State St
Shelby, MI 49455-1243

Mailing address

10767 E Traverse Hwy
Traverse City, MI 49684-6219
Phone (231) 861-2130

Other practice location 1

301 N Main St
Sheridan, MI 48884-9235
Phone (989) 291-3261

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209001338 MI Practitioner - Physician Assistant 8123490604 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sheridan Community HospitalGroup PAC ID 1658275342, 18 clinicians

Practice addresses (Care Compare)

301 N Main St
Sheridan, MI 48884-9235
Phone (989) 291-3261

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation CurrentSince Oct 1, 2023 Accepting new patients
Sheridan Community Hospital CurrentSince Jan 15, 2023 Accepting new patients
Iha Health Service Corporation CurrentSince Oct 1, 2023 Accepting new patients
Northwest Michigan Health Services, Inc Past Accepting new patients
Northwest Michigan Health Services Inc. Past Accepting new patients
Northwest Michigan Health Services, Inc Past Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

2305 Genoa Business Park Dr
Ste 200
Brighton, MI 48114
Phone (810) 494-6840

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

301 N Main St
Sheridan, MI 48884
Phone (989) 291-3261

303 Congress St
Sheridan, MI 48884
Phone (989) 291-3227

Interoperability endpoints

  • Direct secure messaging: jbisson2688752@direct.trinity-health.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782691200000",
    "number": "1306555750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10767 E TRAVERSE HWY",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496846219",
            "telephone_number": "231-861-2130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S STATE ST",
            "city": "SHELBY",
            "state": "MI",
            "postal_code": "494551243",
            "telephone_number": "231-861-2130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 N Main St",
            "address_purpose": "LOCATION",
            "city": "Sheridan",
            "state": "MI",
            "postal_code": "488849235",
            "country_code": "US",
            "telephone_number": "989-291-3261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISSON",
        "first_name": "JONATHAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-15",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601011250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, MI

Sources for this page

Verify at the official NPI Registry.