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SHAIDAN REECE LEACH
NPI 1154287878
Physician Assistant in Battle Creek, MI

Active since December 26, 2025PECOS Enrolled
3790 CAPITAL AVE SW, BATTLE CREEK, MI 49015(269) 979-6310 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Shaidan Reece Leach NPPES

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

SHAIDAN REECE LEACH (NPI 1154287878) is an individual physician assistant in Battle Creek, Michigan and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Central Michigan College Of Medicine (2025).

NPPES Registry Identity

NPI1154287878
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHAIDAN REECE LEACH
Location Address3790 CAPITAL AVE SWBattle Creek, MI 49015-8332
Mailing Address7937 Chippewa StPortage, MI 49024-4878 · (269) 352-7019
Phone(269) 979-6310
Sole ProprietorNo
Medical School CMSCentral Michigan College Of MedicineGraduated 2025
Enumeration DateDecember 26, 2025
NPPES CertifiedDecember 26, 2025
✔ NPI 1154287878 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.
3790 CAPITAL AVE SW, Battle Creek, MI 49015
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaidan Reece Leach is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799267548
PECOS Enrollment IDI20260303000381
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 49015 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.

Other Providers at the Same Location NPPES 4

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

DAVID M DYER DNP, AGACNP-BC, RN
Nurse Practitioner (Acute Care)
3790 CAPITAL AVE SW
BATTLE CREEK, MI 49015
Calhoun County (269) 979-6310
SYED M.F. ALAM MD
Surgery (Vascular Surgery)
3790 CAPITAL AVE SW
BATTLE CREEK, MI 49015
Calhoun County (269) 979-6310
VHC PC
Surgery (Vascular Surgery)
3790 CAPITAL AVE SW
BATTLE CREEK, MI 49015
Calhoun County (269) 979-6310
TAREK ELSHAARAWY M.D.
Surgery (Vascular Surgery)
3790 CAPITAL AVE SW
BATTLE CREEK, MI 49015
Calhoun County (269) 979-6310

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 Shaidan Leach's NPI number?

The NPI number for Shaidan Leach is 1154287878. It was assigned to this individual provider in the NPPES registry on December 26, 2025.

Where is Shaidan Leach located?

Shaidan Leach practices at 3790 Capital Ave SW, Battle Creek, MI 49015. The listed phone number is (269) 979-6310.

What is Shaidan Leach's specialty?

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

Is Shaidan Leach enrolled in Medicare?

Yes. Shaidan Leach is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shaidan Leach was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.