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JASON SHELLNUT, MD, PC
NPI 1063857779
Colon & Rectal Surgery in Royal Oak, MI

Active since May 08, 2013
1121 CROOKS RD, ROYAL OAK, MI 48067(248) 541-8554(248) 541-1791 Get Directions Write a Review

NPPES record last updated: August 27, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jason Shellnut, Md, Pc NPPES

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

JASON SHELLNUT, MD, PC (NPI 1063857779) is a healthcare organization registered as a colon & rectal surgery in Royal Oak, Michigan and active in the NPI registry since May 2013. The organization lists Jean Leman, Asst Office Manager, as its authorized official.

NPPES Registry Identity

NPI1063857779
Entity TypeOrganization
Primary Taxonomy208C00000X
Legal Business NameJASON SHELLNUT, MD, PC
Location Address1121 CROOKS RDRoyal Oak, MI 48067-1301
Mailing Address1121 Crooks RdRoyal Oak, MI 48067-1301 · (248) 541-8554 · Fax (248) 541-1791
Phone(248) 541-8554
Fax(248) 541-1791
Organization SubpartNo
Authorized OfficialJean LemanAsst Office Manager · (248) 541-8554
Enumeration DateMay 8, 2013
Last NPPES UpdateAugust 27, 2013
✔ NPI 1063857779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in MI · 4301092631
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
1121 CROOKS RD, Royal Oak, MI 48067
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jason Shellnut, Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMichiganEnrollment IDO20130826000735Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Jason Shellnut, MD, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jason Shellnut, M.D.
Colorectal Surgery (Proctology)
NPI 1144316340
1121 CROOKS RD
Royal Oak, MI 48067
(248) 541-8554
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jason Shellnut, MD, PC's NPI number?

The NPI number for Jason Shellnut, MD, PC is 1063857779. It was assigned to this organization in the NPPES registry on May 8, 2013.

Where is Jason Shellnut, MD, PC located?

Jason Shellnut, MD, PC is located at 1121 Crooks Rd, Royal Oak, MI 48067. The listed phone number is (248) 541-8554.

What is Jason Shellnut, MD, PC's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Jason Shellnut, MD, PC enrolled in Medicare?

Yes. Jason Shellnut, MD, PC is registered in the Medicare PECOS enrollment system.

When is Jason Shellnut, MD, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Michigan, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Jason Shellnut, MD, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Colorectal Surgery (Proctology)) reassigns their Medicare billing to Jason Shellnut, MD, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jason Shellnut, MD, PC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Jason Shellnut, MD, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Shellnut, MD, PC was last updated on August 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.