WESLEY HANNAH SHANE DO
NPI 1013544030
Pediatrics in Grand Rapids, MI

Active since March 27, 2020PECOS Enrolled
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503(866) 989-7999 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2023, Mar 27, 2020 (2 updates tracked since 2020).

About Wesley Hannah Shane Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WESLEY HANNAH SHANE DO (NPI 1013544030) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (5101027303) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013544030
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameWESLEY HANNAH SHANECredential: DO
Location Address100 MICHIGAN ST NEGrand Rapids, MI 49503-2560
Mailing Address100 Michigan St NeGrand Rapids, MI 49503-2560 · (866) 989-7999
Sole ProprietorNo
Enumeration DateMarch 27, 2020
Last NPPES UpdateJuly 10, 20232 updates tracked since enumeration
NPPES CertifiedJuly 10, 2023
NPI 1013544030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MI · 5101027303
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License 5101027303 (MI)
100 MICHIGAN ST NE, Grand Rapids, MI 49503

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Wesley Hannah Shane Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
100 MICHIGAN ST NE, SUITE A721
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Internal Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physical Therapist
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Anesthesiology
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE, MC 71
GRAND RAPIDS, MI 49503
Emergency Medicine
100 MICHIGAN ST NE
GRAND RAPIDS, MI 49503
Physician Assistant
100 MICHIGAN ST NE, SUITE 8861
GRAND RAPIDS, MI 49503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wesley Shane's NPI number?

The NPI number for Wesley Shane is 1013544030. It was assigned to this individual provider in the NPPES registry on March 27, 2020.

Where is Wesley Shane located?

Wesley Shane practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (866) 989-7999.

What is Wesley Shane's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Wesley Shane enrolled in Medicare?

Yes. Wesley Shane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wesley Shane was last updated on July 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.