MS. EMILY NOELLE SHAW PA-C
NPI 1124169222
Physician Assistant in Grand Rapids, MI

Active since February 09, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
35 MICHIGAN ST NE STE 3003, GRAND RAPIDS, MI 49503(616) 267-7758 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2021, Sep 9, 2019 (2 updates tracked since 2019).

About Ms. Emily Noelle Shaw Pa-c NPPES

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

MS. EMILY NOELLE SHAW PA-C (NPI 1124169222) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601009223) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1124169222
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. EMILY NOELLE SHAWCredential: PA-C
Location Address35 MICHIGAN ST NE STE 3003Grand Rapids, MI 49503-2528
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 9, 2007
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
NPI 1124169222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MI · 5601009223 Licensed in IL · 085002177
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.

35 MICHIGAN ST NE STE 3003, Grand Rapids, MI 49503

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Emily Noelle Shaw Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5698931251
PECOS Enrollment IDI20190813003467
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
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

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.

Dietitian, Registered
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Nurse Practitioner
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Nurse Practitioner (Pediatrics)
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Pediatrics (Pediatric Pulmonology)
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Occupational Therapist
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Nurse Practitioner (Pediatrics)
35 MICHIGAN ST NE STE 3003
GRAND RAPIDS, MI 49503
Speech-Language Pathologist
35 MICHIGAN ST NE STE 3003
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 Emily Shaw's NPI number?

The NPI number for Emily Shaw is 1124169222. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Emily Shaw located?

Emily Shaw practices at 35 Michigan St NE Ste 3003, Grand Rapids, MI 49503. The listed phone number is (616) 267-7758.

What is Emily Shaw's specialty?

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

Is Emily Shaw enrolled in Medicare?

Yes. Emily Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Emily Shaw accept?

Health plans from McLaren Health Plan Community and Priority Health list Emily Shaw 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 Emily Shaw was last updated on February 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.