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SHANA GOETTING BROXUP PA
NPI 1326715202
Physician Assistant in Grand Rapids, MI

Active since August 27, 2021
3230 EAGLE PARK DR NE STE 100, GRAND RAPIDS, MI 49525(616) 988-2229(616) 988-2010 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shana Goetting Broxup Pa NPPES

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

SHANA GOETTING BROXUP PA (NPI 1326715202) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601010535TMP21) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1326715202
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANA GOETTING BROXUPCredential: PA
Location Address3230 EAGLE PARK DR NE STE 100Grand Rapids, MI 49525-7047
Mailing Address8550 Mountain Pine LnKalamazoo, MI 49009-4992 · (517) 896-9426
Phone(616) 988-2229
Fax(616) 988-2010
Sole ProprietorNo
Enumeration DateAugust 27, 2021
NPPES CertifiedAugust 27, 2021
✔ NPI 1326715202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601010535TMP21
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.
3230 EAGLE PARK DR NE STE 100, Grand Rapids, MI 49525
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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, Priority Health.Insurance ›

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.

IVF LABORATORIES OF GRAND RAPIDS, LLC
Clinical Medical Laboratory
3230 EAGLE PARK DR NE STE 100
GRAND RAPIDS, MI 49525
Kent County (818) 858-1080
DR. MILI THAKUR M.D.
Obstetrics & Gynecology
3230 EAGLE PARK DR NE STE 100
GRAND RAPIDS, MI 49525
Kent County (616) 988-2229
MRS. MELISSA J PRINS PA
Physician Assistant
3230 EAGLE PARK DR NE STE 100
GRAND RAPIDS, MI 49525
Kent County (877) 904-4483
LILY RALEIGH
Nurse Practitioner (Women's Health)
3230 EAGLE PARK DR NE STE 100
GRAND RAPIDS, MI 49525
Kent County (616) 988-2229

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 Shana Broxup's NPI number?

The NPI number for Shana Broxup is 1326715202. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Shana Broxup located?

Shana Broxup practices at 3230 Eagle Park Dr NE Ste 100, Grand Rapids, MI 49525. The listed phone number is (616) 988-2229.

What is Shana Broxup's specialty?

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

What insurance does Shana Broxup accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Shana Broxup 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 Shana Broxup was last updated on August 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.