Individual provider Active NPI

Shannon Christine Gabel, PA-C

  • Physician Assistant
  • Gaylord, MI
National Provider Identifier
1821038217
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005656 Issued in MI
Practice address
829 N Center Ave Ste 120
Gaylord, MI 49735-1598
Phone
(989) 731-7987
Fax
(989) 731-9151
NPI assigned
Jun 7, 2006
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005656 MI Primary
Physician Assistant 363A00000X 249 WY

Addresses

Primary practice location

829 N Center Ave Ste 120
Gaylord, MI 49735-1598

Mailing address

1105 Sixth St
Traverse City, MI 49684-2386
Phone (989) 731-7708

Other practice location 1

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

Other identifiers 6

IdentifierTypeStateIssuer
314309OtherWYBLUE CROSS BLUE SHIELD WY
5601005656OtherMIMI LICENSE
4310527MedicaidMT
117064300MedicaidWY
314247OtherWYBLUE CROSS BLUE SHIELD WY
900213OtherMTBLUE CROSS BLUE SHIELD MT

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
I20100820000473 MI Practitioner - Physician Assistant 2062452006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2100

829 N Ctr Ave
MHC Omh Medical Group
Gaylord, MI 49735-1595
Phone (989) 731-7708

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
494MTMDOptometrist

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 Feb 1, 2010 Accepting new patients
Munson Healthcare Otsego Memorial Hospital CurrentSince Feb 1, 2010 Accepting new patients
Global Medical Imaging, SC Past Accepting new patients
Dennis M. Lewis MD PA Past Accepting new patients

Locations

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

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

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

829 N Center Ave
Ste 120
Gaylord, MI 49735
Phone (989) 731-7987

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

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5036/brand/1/csg/1/fhir/r4

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1821038217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 SIXTH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842386",
            "telephone_number": "989-731-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 N CENTER AVE STE 120",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351598",
            "telephone_number": "989-731-7987",
            "fax_number": "989-731-9151"
        }
    ],
    "practiceLocations": [
        {
            "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",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABEL",
        "first_name": "SHANNON",
        "middle_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005656",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WY",
            "license": "249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD WY",
            "identifier": "314309",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MI LICENSE",
            "identifier": "5601005656",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4310527",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117064300",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD WY",
            "identifier": "314247",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MT",
            "identifier": "900213",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

Verify at the official NPI Registry.