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SHANNON PAVLAK
NPI 1063393718
Physician Assistant in East Lansing, MI

Active since September 09, 2025
909 WILSON RD, EAST LANSING, MI 48824(517) 353-2460 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 22, 2026, Sep 9, 2025 (2 updates tracked since 2025).

About Shannon Pavlak NPPES

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

SHANNON PAVLAK (NPI 1063393718) is an individual physician assistant in East Lansing, Michigan and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1063393718
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON PAVLAK
Location Address909 WILSON RDEast Lansing, MI 48824-6410
Mailing Address909 Wilson RdEast Lansing, MI 48824-6410 · (517) 353-2460
Phone(517) 353-2460
Sole ProprietorNo
Enumeration DateSeptember 9, 2025
Last NPPES UpdateApril 22, 20262 updates tracked since enumeration
NPPES CertifiedApril 22, 2026
✔ NPI 1063393718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
909 WILSON RD, East Lansing, MI 48824
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Other Providers at the Same Location NPPES 3

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

JENNA MARGARET FINNEY
Physician Assistant
909 WILSON RD
EAST LANSING, MI 48824
Ingham County (260) 402-2015
MR. CONNOR JAMES
Physician Assistant
909 WILSON RD, PA DEPARTMENT
EAST LANSING, MI 48824
Ingham County (517) 353-2460
BRANDON PROCHAZKA
Psychiatry & Neurology (Psychiatry)
909 WILSON RD, WEST FEE HALL B119
EAST LANSING, MI 48824
Ingham County (517) 353-3070

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 Shannon Pavlak's NPI number?

The NPI number for Shannon Pavlak is 1063393718. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Where is Shannon Pavlak located?

Shannon Pavlak practices at 909 Wilson Rd, East Lansing, MI 48824. The listed phone number is (517) 353-2460.

What is Shannon Pavlak's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Shannon Pavlak was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.