Individual provider Active NPI

Shelby Kienast, PA-C

  • Physician Assistant
  • Lapeer, MI
National Provider Identifier
1821908039
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601014096 Issued in MI
Practice address
1057 Suncrest Dr
Lapeer, MI 48446-4404
Phone
(810) 245-9380
NPI assigned
Sep 9, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 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 5601014096 MI Primary

Addresses

Primary practice location

1057 Suncrest Dr
Lapeer, MI 48446-4404

Mailing address

1057 Suncrest Dr
Lapeer, MI 48446-4404
Phone (810) 245-9380

Other practice location 1

4705 Towne Centre Rd Ste 301
Saginaw, MI 48604-2821
Phone (989) 793-6505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1821908039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484464404",
            "telephone_number": "810-245-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 SUNCREST DR",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484464404",
            "telephone_number": "810-245-9380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4705 Towne Centre Rd Ste 301",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486042821",
            "country_code": "US",
            "telephone_number": "989-793-6505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIENAST",
        "first_name": "SHELBY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601014096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.