Melissa Shields

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601007162 Issued in MI

Practice address

Western Michigan University
1903 Western Michigan Avenue
Kalamazoo, MI 49008

Phone

(269) 387-3287

NPI assigned

Oct 1, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Michigan UniversityGroup PAC ID 8426017179, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Physician Assistant

Practice roles

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.

• Western Michigan University

  • Health Service Clinic/Center
  • Kalamazoo, MI
  • NPI 1467470492
  Medicare reassignment Care Compare group
• Hurley Health Services

  • Family Medicine Physician
  • Clio, MI
  • NPI 1558302497
  Medicare reassignment
• Physician Coverage Services PC

  dba Michigan Health Specialist

  • Internal Medicine Physician
  • Flint, MI
  • NPI 1669567806
  Medicare reassignment
• Western Michigan University

  dba Unified Clinics

  • Multi-Specialty Clinic/Center
  • Kalamazoo, MI
  • NPI 1538340567
  NPD (past)

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566777600000",
    "number": "1598168874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WESTERN MICHIGAN UNIVERSITY",
            "address_2": "1903 WESTERN MICHIGAN AVENUE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "WESTERN MICHIGAN UNIVERSITY",
            "address_2": "1903 WESTERN MICHIGAN AVENUE",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49008",
            "telephone_number": "269-387-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-01",
        "last_updated": "2019-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601007162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Shermetaro, DO
• Kate Marie Sherwood, PHARM.D.
• Abby Sheteron
• Alexandra Katherine Shields, PA
• Anna Shields, BT
• Stacey Lynn Shinabarger, CFY-SLP, TSLI
• Kimberly Sue Shinavier, LBSW
• Andrew Shindeldecker
• Patricia Foster Shinners, OT
• Isabelle Shipley

• Physician Assistant in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; 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.

Verify at the official NPI Registry.