SHELBY BURKHOLDER PA
NPI 1326762378
Physician Assistant in Grand Rapids, MI

Active since October 03, 2022PECOS EnrolledAccepts Medicare Assignment
300 68TH ST SE, GRAND RAPIDS, MI 49548(616) 455-5000(616) 281-6459 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2022, Oct 3, 2022 (2 updates tracked since 2022).

About Shelby Burkholder Pa NPPES

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

SHELBY BURKHOLDER PA (NPI 1326762378) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601011341) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1326762378
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELBY BURKHOLDERCredential: PA
Location Address300 68TH ST SEGrand Rapids, MI 49548-6927
Mailing Address300 68th St SeGrand Rapids, MI 49548-6927 · (616) 455-5000 · Fax (616) 281-6459
Fax(616) 281-6459
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 3, 2022
Last NPPES UpdateSeptember 19, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2023
NPI 1326762378 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 · 5601011341
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.
300 68TH ST SE, Grand Rapids, MI 49548

Other Names 1

Former Name (1)Shelby Spence

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

Shelby Burkholder Pa 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 ID6002284585
PECOS Enrollment IDI20221115002657
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 49548 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 20

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

Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Behavior Analyst
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker
300 68TH ST SE
GRAND RAPIDS, MI 49548
Psychiatry & Neurology (Psychiatry)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Social Worker (Clinical)
300 68TH ST SE
GRAND RAPIDS, MI 49548
Counselor (Mental Health)
300 68TH ST SE
GRAND RAPIDS, MI 49548

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 Shelby Burkholder's NPI number?

The NPI number for Shelby Burkholder is 1326762378. It was assigned to this individual provider in the NPPES registry on October 3, 2022. The provider is also known as Shelby Spence.

Where is Shelby Burkholder located?

Shelby Burkholder practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 455-5000.

What is Shelby Burkholder's specialty?

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

Is Shelby Burkholder enrolled in Medicare?

Yes. Shelby Burkholder 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 Shelby Burkholder accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Shelby Burkholder 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 Shelby Burkholder was last updated on September 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.