Individual provider Active NPI

Dayna Rae-Ann Shuster, PA-C

  • Physician Assistant
  • Midland, MI
National Provider Identifier
1578949707
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601007395 Issued in MI
Practice address
715 E Main St
Midland, MI 48640
Phone
(989) 794-3200
Fax
(989) 794-3215
NPI assigned
Aug 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601007395 MI Primary

Addresses

Primary practice location

715 E Main St
Midland, MI 48640

Mailing address

715 E Main St
Midland, MI 48640-5382
Phone (989) 794-3200

Other names 1

  • Dayna Rae-Ann Compeau Former name

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
I20150923001731 MI Practitioner - Physician Assistant 1759698780 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mymichigan Medical Center MidlandGroup PAC ID 2264323633, 507 clinicians

Practice addresses (Care Compare)

4000 Wellness Dr
Midland, MI 48670-2000
Phone (989) 633-8018

4500 Campus Ridge Dr
Midland, MI 48640-6123
Phone (989) 837-9250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601007395MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mymichigan Medical Center Midland CurrentSince Oct 10, 2016 Accepting new patients
Mymichigan Medical Center Midland CurrentSince Oct 10, 2016 Accepting new patients
Henry Ford Health System CurrentSince Aug 22, 2015 Accepting new patients
Henry Ford Health System Physician Assistant CurrentSince Aug 22, 2015 Accepting new patients

Locations

321 E Warwick Dr
Alma, MI 48801
Phone (989) 463-0957

602 Beech St
Ste 1100
Clare, MI 48617
Phone (989) 386-9911

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

609 Quarter St
Gladwin, MI 48624
Phone (989) 246-6371

515 Quarter St
Gladwin, MI 48624
Phone (989) 246-6201

715 E Main St
Midland, MI 48640
Phone (989) 374-2222

715 E Main St
Ste 100
Midland, MI 48640
Phone (989) 794-3200

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

2618 W Sugnet Rd
Midland, MI 48640
Phone (989) 633-5237

4500 N Campus Ridge Dr
Midland, MI 48640
Phone (989) 837-9250

Interoperability endpoints

  • Direct secure messaging: dshuster6329@mymichiganhealth.midirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1578949707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 E MAIN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486405382",
            "telephone_number": "989-794-3200",
            "fax_number": "989-794-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 E MAIN ST",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "48640",
            "telephone_number": "989-794-3200",
            "fax_number": "989-794-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUSTER",
        "first_name": "DAYNA",
        "middle_name": "RAE-ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAYNA",
            "last_name": "COMPEAU",
            "middle_name": "RAE-ANN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Midland, MI

Sources for this page

Verify at the official NPI Registry.