Individual provider Active NPI

Shelly R Slivinski, PA-C

  • Physician Assistant
  • Gaylord, MI
National Provider Identifier
1770568248
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601004137 Issued in MI
Practice address
2147 Professional Dr
Gaylord, MI 49735-0003
Phone
(989) 732-1753
Fax
(989) 731-1425
NPI assigned
Dec 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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 5601004137 MI Primary

Addresses

Primary practice location

2147 Professional Dr
Gaylord, MI 49735-0003

Mailing address

829 N Center Ave Ste 298
Gaylord, MI 49735-1683
Phone (989) 731-7708

Other practice location 1

1100 E Michigan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

Other practice location 2

1010 W North Down River Rd
Grayling, MI 49738-2060
Phone (989) 348-0800

Other practice location 3

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6090

Other practice location 4

1996 Walden Dr
Gaylord, MI 49735-8241
Phone (989) 731-4111

Other practice location 5

2585 W Houghton Lake Dr
Prudenville, MI 48651-9624
Phone (989) 366-2900

Other practice location 6

2572 N US Highway 131
Elmira, MI 49730-8252
Phone (989) 731-1753

Other practice location 7

2147 Professional Dr
Gaylord, MI 49735-0003
Phone (989) 732-1753

Other identifiers 1

IdentifierTypeStateIssuer
0F96004OtherMIGROUP MEDICARE ID NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shelly.slivinski@omhmedicalgroup.directbygreenway.com

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
I20050207000126 MI Practitioner - Physician Assistant 6406807577 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Healthcare Grayling 64 clinicians
Munson Healthcare Otsego Memorial Hospital 126 clinicians

Practice addresses (Care Compare)

1010 W N Down River Rd
Munson Healthcare Grayling Physician Networ
Grayling, MI 49738-2060
Phone (231) 876-7476

1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6000

Hospital & facility affiliations

  • Munson Healthcare Otsego Memorial Hospital Hospital, Gaylord, MI, CCN 230133
  • McLaren Northern Michigan Hospital, Petoskey, MI, CCN 230105
  • Munson Healthcare Grayling Hospital Hospital, Grayling, MI, CCN 230058

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601004137MIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 2, 2008 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Sep 2, 2008 Accepting new patients
Munson Healthcare Otsego Memorial Hospital Current Accepting new patients
N'Orthopedics PC Physician Assistant Past Accepting new patients
Munson Healthcare Grayling Past Accepting new patients
Petoskey Surgeons, P.C. Past Accepting new patients

Locations

829 N Center Ave
Ste 298
Gaylord, MI 49735
Phone (989) 731-7707

1996 Walden Dr
Gaylord, MI 49735
Phone (517) 731-4111

701 N Otsego Ave
Gaylord, MI 49735
Phone (517) 732-1753

2147 Professional Dr
Gaylord, MI 49735
Phone (989) 732-1400

829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

1619 Anderson Rd
Petoskey, MI 49770
Phone (231) 417-6000

2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055

Interoperability endpoints

  • Direct secure messaging: sslivinski@direct.mhc.net
  • Direct secure messaging: shelly.slivinski@omhmedicalgroup.directbygreenway.com

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 4

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1770568248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 N CENTER AVE STE 298",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351683",
            "telephone_number": "989-731-7708",
            "fax_number": "989-731-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2147 PROFESSIONAL DR",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497350003",
            "telephone_number": "989-732-1753",
            "fax_number": "989-731-1425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497381312",
            "country_code": "US",
            "telephone_number": "989-348-5461",
            "fax_number": "989-348-5724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1010 W North Down River Rd",
            "address_purpose": "LOCATION",
            "city": "Grayling",
            "state": "MI",
            "postal_code": "497382060",
            "country_code": "US",
            "telephone_number": "989-348-0800",
            "fax_number": "231-935-7883",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 Anderson Rd",
            "address_purpose": "LOCATION",
            "city": "Petoskey",
            "state": "MI",
            "postal_code": "497709256",
            "country_code": "US",
            "telephone_number": "231-417-6090",
            "fax_number": "231-213-8751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1996 Walden Dr",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497358241",
            "country_code": "US",
            "telephone_number": "989-731-4111",
            "fax_number": "989-705-8511",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2585 W Houghton Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Prudenville",
            "state": "MI",
            "postal_code": "486519624",
            "country_code": "US",
            "telephone_number": "989-366-2900",
            "fax_number": "989-366-1166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2572 N US Highway 131",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "MI",
            "postal_code": "497308252",
            "country_code": "US",
            "telephone_number": "989-731-1753",
            "fax_number": "989-731-1425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2147 Professional Dr",
            "address_purpose": "LOCATION",
            "city": "Gaylord",
            "state": "MI",
            "postal_code": "497350003",
            "country_code": "US",
            "telephone_number": "989-732-1753",
            "fax_number": "989-731-1425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLIVINSKI",
        "first_name": "SHELLY",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-07",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601004137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE ID NUMBER",
            "identifier": "0F96004",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shelly.slivinski@omhmedicalgroup.directbygreenway.com",
            "affiliation": "N",
            "address_1": "2147 Professional Dr",
            "city": "Gaylord",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497350003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.