DR. SHANNON KAY KUSIAK MD
NPI 1346401601
Family Medicine in Ypsilanti, MI

Active since June 19, 2008PECOS EnrolledAccepts Medicare Assignment
4940 W CLARK RD, STE 100, YPSILANTI, MI 48197(734) 971-1188(734) 971-3658 Get Directions Write a Review

NPPES record last updated: January 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shannon Kay Kusiak Md NPPES

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

DR. SHANNON KAY KUSIAK MD (NPI 1346401601) is an individual family medicine provider in Ypsilanti, Michigan, licensed in Michigan (4301092619) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1346401601
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHANNON KAY KUSIAKCredential: MD
Location Address4940 W CLARK RD, STE 100Ypsilanti, MI 48197-0860
Mailing Address24 Frank Lloyd Wright Dr Lbby J2000Ann Arbor, MI 48105-9484
Fax(734) 971-3658
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJune 19, 2008
Last NPPES UpdateJanuary 16, 2018
NPI 1346401601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 4301092619
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4940 W CLARK RD, Ypsilanti, MI 48197

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

Dr. Shannon Kay Kusiak Md 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 ID7810165537
PECOS Enrollment IDI20110725000715
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 6

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.

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.
135 services63 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.
59 services36 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
46 services25 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
46 services46 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services21 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
20 services20 patients

Hospital Affiliations CMS Care Compare 3

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

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Saint Joseph Mercy Livingston Hospital

Acute Care Hospitals · Howell, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230069
Location620 Byron RdHowell, MI 48843 · Livingston County
Emergency services

Trinity Health Ann Arbor Hospital

Acute Care Hospitals · Ann Arbor, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230156
Location5301 E Huron River DrAnn Arbor, MI 48106 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48197 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
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 16

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

Family Medicine
4940 W CLARK RD, STE 100
YPSILANTI, MI 48197
Obstetrics & Gynecology
4940 W CLARK RD, SUITE 100
YPSILANTI, MI 48197
Obstetrics & Gynecology
4940 W CLARK RD, SUITE 100
YPSILANTI, MI 48197
Obstetrics & Gynecology
4940 W CLARK RD, SUITE 100
YPSILANTI, MI 48197
Family Medicine
4940 W CLARK RD, STE 100
YPSILANTI, MI 48197
Obstetrics & Gynecology
4940 W CLARK RD, SUITE 100
YPSILANTI, MI 48197
Obstetrics & Gynecology
4940 W CLARK RD
YPSILANTI, MI 48197
Chiropractor
4940 W CLARK RD, SUITE 101
YPSILANTI, MI 48197

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 Shannon Kusiak's NPI number?

The NPI number for Shannon Kusiak is 1346401601. It was assigned to this individual provider in the NPPES registry on June 19, 2008.

Where is Shannon Kusiak located?

Shannon Kusiak practices at 4940 W Clark Rd Ste 100, Ypsilanti, MI 48197. The listed phone number is (734) 971-1188.

What is Shannon Kusiak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shannon Kusiak enrolled in Medicare?

Yes. Shannon Kusiak 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 Shannon Kusiak accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Shannon Kusiak 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.

Is Shannon Kusiak affiliated with any hospitals?

According to CMS data, Shannon Kusiak is affiliated with University Of Michigan Health System, Saint Joseph Mercy Livingston Hospital and Trinity Health Ann Arbor Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Kusiak was last updated on January 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.