Sally Ann Shevlin, PA-C
Individual provider Active NPI Physician Assistant · Traverse City, MI
NPI 1770840233 · NPPES record last updated May 1, 2026
Key facts
- NPI
- 1770840233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 5601012576 (MI)
- Practice address
- 550 Munson Ave
Traverse City, MI 49686-3580 - Phone
- (231) 935-8686
- NPI assigned
- Apr 20, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 57
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Indiana University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fast Pace Medical Clinic PLLC
Munson Healthcare Grayling
Munson Healthcare Charlevoix Hospital
Munson Healthcare Otsego Memorial Hospital
Munson Healthcare Cadillac
Practice addresses (Care Compare)
100 E Tennessee St
Collinwood, TN 38450
Phone (931) 724-9000
1250 E Michigan Ave
Grayling, MI 49738-7074
Phone (989) 348-0550
1250 E Michigan Ave C
Grayling, MI 49738-7074
Phone (231) 935-6455
14705 W Upright St
Charlevoix, MI 49720-1949
Phone (231) 547-8544
14709 W Upright St
Charlevoix, MI 49720-1949
Phone (231) 547-6519
1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 935-0338
1996 Walden
Gaylord, MI 49735
Phone 51773141111
217 S Madison St
Traverse City, MI 49684-2321
Phone (231) 392-8400
2585 W Houghton Lake Dr
Prudenville, MI 48651-9624
Phone (989) 366-2900
302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 876-2644
4008 Hwy 411
Madisonville, TN 37354-1560
Phone (423) 427-2402
4104 Dayton Blvd
Red Bank, TN 37415-7155
Phone (423) 499-7710
4696 Nashville Hwy
Chapel Hill, TN 37034-2110
Phone (931) 364-5321
829 N Ctr Ave
Gaylord, MI 49735-1595
Phone (989) 731-7708
Hospital & facility affiliations
- Munson Healthcare Cadillac Hospital
- Munson Healthcare Otsego Memorial Hospital
- Charlevoix Area Hospital
- Munson Healthcare Grayling Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TN, 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 |
|---|---|---|---|---|
| I20130311000270 | TN | Practitioner - Physician Assistant | 7113189457 | Reassigns benefits to 2 organizations |
| I20240906000164 | MI | Practitioner - Physician Assistant | 7113189457 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Upperline Healthcare, PC | Current |
Accepting new patients | |
| Munson Healthcare Grayling | Current |
Accepting new patients | |
| Munson Healthcare Cadillac | Current |
Accepting new patients | |
| Munson Medical Center | Current |
Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current |
Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current |
Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Current |
Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current |
Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current |
Accepting new patients | |
| Munson Medical Center | Current |
Accepting new patients | |
| Munson Healthcare Cadillac | Current |
Accepting new patients | |
| Munson Medical Center | Past | Accepting new patients | |
| Munson Healthcare Grayling | Past | Accepting new patients | |
| J & a Enterprises Inc | Past | Accepting new patients | |
| Munson Healthcare Grayling | Past | Accepting new patients | |
| David G. Sanford, M.D., P.S.C. | Past | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Past | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Past | Accepting new patients | |
| Munson Healthcare Charlevoix Hospital | Past | Accepting new patients |
Locations
3782 Momentum Pl
Chicago, IL 60689
223 N Park St
Boyne City, MI 49712
Phone (231) 582-5314
302 Hobart St
Cadillac, MI 49601
Phone (231) 876-2644
14734 Park Ave
Charlevoix, MI 49720
Phone (231) 547-4024
14709 W Upright St
Charlevoix, MI 49720
Phone (231) 547-6519
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
14705 W Upright St
Charlevoix, MI 49720
Phone (231) 547-6519
14651 W Upright St
Charlevoix, MI 49720
Phone (231) 547-4477
1996 Walden Dr
Gaylord, MI 49735
Phone (517) 731-4111
829 N Center Ave
Ste 130
Gaylord, MI 49735
Phone (989) 731-7930
829 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
1250 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0550
1200 W North Down River Rd
Ste C
Grayling, MI 49738
Phone (231) 935-6455
3040 Bourn St
Lewiston, MI 49756
Phone (989) 731-7777
1321 S Mount Tom Rd
Mio, MI 48647
Phone (989) 275-1200
1619 Anderson Rd
Petoskey, MI 49770
Phone (231) 417-6000
2585 W Houghton Lake Dr
Prudenville, MI 48651
Phone (989) 348-0055
234 Lake St
Roscommon, MI 48653
Phone (517) 275-1200
1110 Sixth St
Traverse City, MI 49684
Phone (231) 392-8400
1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
3074 US 31 S
Traverse City, MI 49684
Phone (231) 642-5419
550 Munson Ave
Traverse City, MI 49686
Phone (231) 935-6600
8187 E Brainerd Rd
Chattanooga, TN 37421
Phone (423) 499-7713
910 New Highway 68
Sweetwater, TN 37874
Phone (423) 836-9304
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1722 | KY | |
| Physician Assistant | 363A00000X | 5601012576 | MI | Yes |
| Physician Assistant | 363A00000X | 2219 | TN |
Addresses
Primary practice location
550 Munson Ave
Traverse City, MI 49686-3580
Mailing address
725 Glenwood Dr Ste 488
Chattanooga, TN 37404-1173
Phone (423) 697-0621
Other practice location 1
1200 W North Down River Rd Ste C
Grayling, MI 49738-8024
Phone (989) 344-5910
Other practice location 2
1321 S Mount Tom Rd
Mio, MI 48647-9518
Phone (989) 344-5820
Other practice location 3
1250 E Michigan Ave
Grayling, MI 49738-7074
Phone (989) 348-0550
Other practice location 4
1996 Walden Dr
Gaylord, MI 49735-8241
Phone (989) 731-4111
Other practice location 5
3074 N US 31 S
Traverse City, MI 49684-4533
Phone (231) 929-1234
Other practice location 6
223 N Park St
Boyne City, MI 49712-1220
Phone (231) 582-5314
Other practice location 7
2585 W Houghton Lake Dr
Prudenville, MI 48651-9624
Phone (989) 366-2900
Other practice location 8
2290 Ogletree Ave Ste 102
Chattanooga, TN 37421-8828
Phone (423) 643-3772
Other practice location 9
234 Lake St
Roscommon, MI 48653-9203
Phone (989) 275-1200
Other practice location 10
302 Hobart St
Cadillac, MI 49601-2379
Phone (231) 876-2664
Other practice location 11
14705 W Upright St
Charlevoix, MI 49720-1949
Phone (231) 547-8544
Other practice location 12
3860 S Straits Hwy
Indian River, MI 49749-5146
Phone (231) 238-0581
Other practice location 13
14734 Park Ave
Charlevoix, MI 49720-1927
Phone (231) 547-6554
Other practice location 14
829 N Center Ave Ste 130
Gaylord, MI 49735-1684
Phone (989) 731-7930
Other practice location 15
3040 Bourn St
null
Lewiston, MI 49756
Phone (989) 786-4877
Other practice location 16
1619 Anderson Rd
Petoskey, MI 49770-9256
Phone (231) 417-6050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1533128 | Medicaid | TN |
Other providers in Traverse City, MI
- Sarah Elizabeth Shepler
- Heather L Sheppard
- Sherry A Sheppard
- Claire E Sheridan
- Ella Elizabeth Sherman
- Shift Chiropractic, PLC
- Sarah Elizabeth Shiner
- Joan Joyce Shirilla
- Briana Shirley
- James Anderson Shirley
All providers in Traverse City, 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 May 1, 2026. 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.