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Provider Profile

Shelby Petersen

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At a glance

About Shelby Petersen

Shelby Petersen is a physician assistant based in Grand Rapids, MI. Shelby is a 2024 graduate of Wayne State University School of Medicine. The provider's National Provider Identifier (NPI) is 1245006709.

Factual summary compiled by Guide.md from public records; not written by this provider.

Specialty

Credentials & Licensing

MI licenceAs reported to the NPI registry
No. 5601012426As reported
NPINational Provider Identifier
1245006709Issued 2023

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Shelby Petersen specialize in?

Shelby Petersen is a physician assistant in Grand Rapids, MI. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Shelby Petersen located?

Shelby Petersen is listed at 4100 Embassy Dr Se Ste 400, Grand Rapids, MI 49546. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Shelby Petersen's phone number?

The number on file is (822) 061-6988. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Shelby Petersen?

Shelby Petersen's National Provider Identifier is 1245006709. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Shelby Petersen train?

Shelby Petersen attended Wayne State University School of Medicine, graduating in 2024. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Shelby Petersen have?

Shelby Petersen has 2 years experience. Calculated from a graduation year of 2024, reported in the CMS National Downloadable File.

CMS public data

Is Shelby Petersen's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Shelby Petersen. If this is you, claiming it is free.

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