Individual provider Active NPI

Shanna L Pearson, D.O.

  • Family Medicine Physician
  • Warren, MI
National Provider Identifier
1831324565
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101018140 Issued in MI
Practice address
27472 Schoenherr Rd Ste 100
Warren, MI 48088-6675
Phone
(586) 751-8844
Fax
(586) 751-8596
NPI assigned
May 26, 2009
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101018140 MI Primary

Addresses

Primary practice location

27472 Schoenherr Rd Ste 100
Warren, MI 48088-6675

Mailing address

27472 Schoenherr Rd Ste 100
Warren, MI 48088-6675
Phone (586) 751-8844

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121023000288 MI Practitioner - Family Practice 1951551258 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary and Medicine AssociatesGroup PAC ID 9931467404, 7 clinicians

Practice addresses (Care Compare)

27472 Schoenherr Rd
Suite 100
Warren, MI 48088-6675
Phone (586) 751-8844

27900 Grand River Ave
Suite 220
Farmington Hills, MI 48336-5965
Phone (248) 477-0552

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101018140MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Healthcare Professionals PC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Pulmonary and Medicine Associates Family Medicine CurrentSince Jan 1, 2018 Accepting new patients
K & M Medical & Catastrophic Management, LLC CurrentSince Jul 2, 2022 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Jan 1, 2026 Accepting new patients
Macomb Physicians Group, PLLC Family Medicine Past Accepting new patients

Locations

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

27472 Schoenherr Rd
Ste 100
Warren, MI 48088
Phone (586) 751-8844

3005 E 11 Mile Rd
Ste C
Warren, MI 48092
Phone (586) 580-7690

30117 Schoenherr Rd
Ste 100
Warren, MI 48088
Phone 5867518844 ext. 102

Interoperability endpoints

  • Direct secure messaging: spearson1144211@direct.hfhs.org
  • Direct secure messaging: spearson1250564@epic00.shdirect.org

Organizations & group practices 5

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 11

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1831324565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27472 SCHOENHERR RD STE 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886675",
            "telephone_number": "586-751-8844",
            "fax_number": "586-751-8596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27472 SCHOENHERR RD STE 100",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886675",
            "telephone_number": "586-751-8844",
            "fax_number": "586-751-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "SHANNA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-26",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101018140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

Verify at the official NPI Registry.