MRS. SHANNON M JANSMA PA-C NPI 1275635898

NPI Information

NPI: 1275635898
Provider Name: MRS. SHANNON M JANSMA, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: SPECTRUM HEALTH PRIMARY CARE PARTNERS

PECOS Registration: Yes

Address:
330 BARCLAY AVE NE STE 200
GRAND RAPIDS, MI
ZIP 49503
Phone: (616) 391-2802
Get Directions

MRS. Shannon M Jansma, PA-C is a surgical physician assistant in Grand Rapids, MI with 19 years of experience. MRS. Shannon M Jansma, PA-C NPI is 1275635898. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

330 BARCLAY AVE NE STE 200
GRAND RAPIDS, MI
ZIP 49503-525
Phone: (616) 391-2802

The NPI 1275635898 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/3/2006 and was last updated on 2/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	5601004657	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »