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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON M ROTTMAN PA-C
NPI 1386610384
Physician Assistant in Marysville, MI

Active since February 28, 2006PECOS Enrolled
3350 GRATIOT BLVD, MARYSVILLE, MI 48040(810) 364-4000(810) 364-6623 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon M Rottman Pa-c NPPES

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

SHANNON M ROTTMAN PA-C (NPI 1386610384) is an individual physician assistant in Marysville, Michigan, licensed in Michigan (5601004471) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386610384
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANNON M ROTTMANCredential: PA-C
Location Address3350 GRATIOT BLVDMarysville, MI 48040-2121
Mailing AddressPo Box 610228Port Huron, MI 48061-0228
Phone(810) 364-4000
Fax(810) 364-6623
Sole ProprietorNo
Enumeration DateFebruary 28, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1386610384 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 · 5601004471
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.
3350 GRATIOT BLVD, Marysville, MI 48040
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Other Names 1

Former Name (1)Shannon M Jackson Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon M Rottman Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 48040 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 15

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

MEGHAN KINTER PA-C
Physician Assistant (Medical)
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000
PHYSICIAN HEALTHCARE NETWORK, PC
Clinic/Center (Urgent Care)
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000
IGOR NEDIC M.D.
Family Medicine
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000
JESSICA ANN ONUFRAK ANP-BC
Nurse Practitioner (Adult Health)
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000
KYLEE STAGER RN
Registered Nurse
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000
KRISTINA PAMUKOV D.O.
Family Medicine
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000
DR. KYLE ANTHONY NEDIC M.D.
General Practice
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000
AMANDA C SAUNDERS AGACNP-BC
Nurse Practitioner (Gerontology)
3350 GRATIOT BLVD
MARYSVILLE, MI 48040
St. Clair County (810) 364-4000

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 Rottman's NPI number?

The NPI number for Shannon Rottman is 1386610384. It was assigned to this individual provider in the NPPES registry on February 28, 2006. The provider is also known as Shannon M Jackson Pa-C.

Where is Shannon Rottman located?

Shannon Rottman practices at 3350 Gratiot Blvd, Marysville, MI 48040. The listed phone number is (810) 364-4000.

What is Shannon Rottman's specialty?

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

Is Shannon Rottman enrolled in Medicare?

Yes. Shannon Rottman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Rottman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.