SHAUN MICHAEL EISENGRUBER PA-C
NPI 1336432764
Physician Assistant - Surgical in Traverse City, MI

Q: What is Shaun Eisengruber's NPI number?

The NPI number for Shaun Eisengruber is 1336432764. It was assigned to this individual provider in the NPPES registry on May 18, 2011.

Q: What is Shaun Eisengruber's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Shaun Eisengruber was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since May 18, 2011PECOS EnrolledAccepts Medicare Assignment

3537 W FRONT ST STE E, TRAVERSE CITY, MI 49684(231) 935-5880(231) 935-3464 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2025, Jan 5, 2024 (2 updates tracked since 2024).

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About Shaun Michael Eisengruber Pa-c NPPES

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

SHAUN MICHAEL EISENGRUBER PA-C (NPI 1336432764) is an individual surgical provider in Traverse City, Michigan, licensed in Michigan (5601007080) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Munson Healthcare Grayling Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1336432764

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameSHAUN MICHAEL EISENGRUBERCredential: PA-C

Location Address3537 W FRONT ST STE ETraverse City, MI 49684-7943

Mailing Address3537 W Front StTraverse City, MI 49684-7941 · (231) 395-5880 · Fax (231) 935-3464

Phone(231) 935-5880

Fax(231) 935-3464

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMay 18, 2011

Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration

NPPES CertifiedAugust 21, 2025

✔ NPI 1336432764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in MI · 5601007080

3537 W FRONT ST STE E, Traverse City, MI 49684

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Secondary Practice Locations 5

Location 14045 W Royal DrTraverse City, MI 49684-8965 · Phone (231) 935-0900

Location 21010 W North Down River RdGrayling, MI 49738-2060 · Phone (989) 348-0800 · Fax (231) 935-7883

Location 32147 Professional DrGaylord, MI 49735-0003 · Phone (989) 732-1753 · Fax (989) 731-1425

Location 41345 E Parkdale AveManistee, MI 49660-9318 · Phone (231) 398-1750

Location 58872 Professional Dr Ste BCadillac, MI 49601-8482 · Phone (231) 779-0320

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, McLaren Health Plan Community and more.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

Shaun Michael Eisengruber 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 ID6507189941

PECOS Enrollment IDI20141216001675

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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

327 services65 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

105 services83 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

101 services67 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

86 services64 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

31 services29 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

22 services22 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Munson Healthcare Grayling Hospital

Acute Care Hospitals · Grayling, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230058

Location1100 E Michigan AveGrayling, MI 49738 · Crawford County

Emergency services Birthing friendly

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Munson Healthcare Manistee Hospital

Acute Care Hospitals · Manistee, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230303

Location1465 E Parkdale AveManistee, MI 49660 · Manistee County

Emergency services

Other Providers at the Same Location NPPES 8

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

MS. STACY ZACHMAN DOBREFF PA-C

Physician Assistant