Shawn M Cole, MD
Individual provider Active NPI Internal Medicine Physician · Traverse City, MI
NPI 1972787067 · NPPES record last updated Oct 24, 2025
Key facts
- NPI
- 1972787067
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 047065 (CT)
- Practice address
- 10850 E Traverse Hwy Ste 1155
Traverse City, MI 49684-1363 - Phone
- (231) 268-0013
- Fax
- (469) 319-9379
- NPI assigned
- Dec 26, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Celly Health Medical Group of Northern Michigan PC
Practice addresses (Care Compare)
10850 E Traverse Hwy
Suite 1155
Traverse City, MI 49684-1363
Phone (844) 235-5963
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250416001056 | MI | Practitioner - Internal Medicine | 8628115151 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047065 | CT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Celly Health Medical Group of Northern Michigan PC | Internal Medicine | Current |
Accepting new patients |
| VH Medical Group (de), P.a. | Internal Medicine | Current | Accepting new patients |
| VH Medical Group (de), P.a. | Internal Medicine | Current | Accepting new patients |
| Celly Health Medical Group PA | Internal Medicine | Past | Accepting new patients |
| Hospice of Michigan, Inc. | Past |
Accepting new patients | |
| L&M Physician Association, Inc | Internal Medicine | Past | Accepting new patients |
Locations
10850 E Traverse Hwy
Ste 1155
Traverse City, MI 49684
Phone (231) 268-0013
Interoperability endpoints
- shawn.cole@490594650816516.direct.elationemr.com
- ms_scole98@landmarkhealth-direct.org
- shawn.cole@297228672368644.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 047065 | CT | Yes |
Addresses
Primary practice location
10850 E Traverse Hwy Ste 1155
Traverse City, MI 49684-1363
Mailing address
10850 E Traverse Hwy Ste 1155
Traverse City, MI 49684-1363
Phone (231) 268-0013
Other providers in Traverse City, MI
- Suzanne C Coffin
- Carol Tamara Coffman
- Scott Coggon
- Michael D Colburn
- Laura M Cole
- Sunny Cole
- Deborah A Coleman
- Clare Raymond Coles
- Jessica Anne Coles
- Kevin Coles
All providers in Traverse City, MI · Internal Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2025. 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.