Rhonda L. Shinault, P.A.-C
Individual provider Active NPI Physician Assistant · Bangor, MI
NPI 1629097175 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1629097175
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601004817 (MI)
- Practice address
- 520 Railroad St
Bangor, MI 49013-1490 - Phone
- (269) 427-5811
- Fax
- (269) 427-6107
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pic Indiana PC
Practice addresses (Care Compare)
1131 M 32
Alpena, MI 49707-8222
Phone (989) 250-1925
1803 M
Suite 139
Benton Harbor, MI 49022-6103
Phone (269) 487-3021
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060926000421 | MI | Practitioner - Physician Assistant | 7113922121 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Urgent Care of Michigan, P.C. | Current |
Accepting new patients | |
| Hometown Urgent Care of Michigan, P.C. | Current | Accepting new patients | |
| Hometown Urgent Care of Michigan, PC | Current |
Accepting new patients | |
| Physicians Immediate Care LTD | Past | Accepting new patients |
Locations
1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925
1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835
930 S 11th St
Ste 100
Niles, MI 49120
Phone (269) 845-4064
Interoperability endpoints
- rshinault102049@direct.bronsonhg.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601004817 | MI | Yes |
Addresses
Primary practice location
520 Railroad St
Bangor, MI 49013-1490
Mailing address
815 St Joseph Drive
St Joseph, MI 49085
Phone (269) 983-3455
Other practice location 1
815 St. Joseph Drive
St. Joseph, MI 49085-2529
Phone (269) 983-3455
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629097175 | Medicaid | MI | |
| 5601004817 | Other | MI | PHYS. ASST. LICENSE NUMB |
| P00888250 | Other | MI | RR |
Other names
- Rhonda L. Paupard
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | direct@direct.bronsonhg.org | Direct |
Other providers in Bangor, MI
- Debra Jean Rose
- Bryan Safranski
- Shirley E Sanders
- Alicia Scuiletti
- Mary Serrato
- Debra Shine
- Laurie Ann Simko
- Nashel Smith
- Nicole Smith
- Becky Sue Snyder
All providers in Bangor, MI · Physician Assistant in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.