SHANA A AGELOFF-KUPETZ MD
NPI 1437385382
Family Medicine in Jackson, MI

Q: What is Shana Ageloff-kupetz's NPI number?

The NPI number for Shana Ageloff-kupetz is 1437385382. It was assigned to this individual provider in the NPPES registry on June 5, 2009.

Q: What is Shana Ageloff-kupetz's specialty?

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

Active since June 05, 2009PECOS EnrolledAccepts Medicare Assignment

3235 E MICHIGAN AVE, JACKSON, MI 49202(517) 787-3280(517) 787-9680 Get Directions Write a Review

NPPES record last updated: January 9, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Shana A Ageloff-kupetz Md NPPES

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

SHANA A AGELOFF-KUPETZ MD (NPI 1437385382) is an individual family medicine provider in Jackson, Michigan, licensed in Michigan (4301097152) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Henry Ford Allegiance Health, and is a graduate of Pennsylvania State University College Of Medicine (2006).

NPPES Registry Identity

NPI1437385382

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHANA A AGELOFF-KUPETZCredential: MD

Location Address3235 E MICHIGAN AVEJackson, MI 49202-3971

Mailing Address3235 E Michigan AveJackson, MI 49202-3971 · (517) 787-3280 · Fax (517) 787-9680

Phone(517) 787-3280

Fax(517) 787-9680

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2006

Enumeration DateJune 5, 2009

Last NPPES UpdateJanuary 9, 2014

✔ NPI 1437385382 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 · 4301097152

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.

3235 E MICHIGAN AVE, Jackson, MI 49202

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Other Identifiers 10

Other185245MI · Great Lakes Hrealth Plan Of Michigan

Other080G31660MI · Blue Cross Blue Shield Of Michigan

Medicaid1437385382MI

Medicare PIN0G36111143MI

Other1437385382MI · Molina Health Plan Of Michigan

Other381908328MI · Priority Health

Other381908328MO · Hcap

Other381908328470MI · Care Source Of Michigan

Other1062975MI · Mclaren Health Plan

Other45592CO · State License

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 ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shana A Ageloff-kupetz 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 ID9638200538

PECOS Enrollment IDI20110111000754

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.

Medicare Billing Reassignment

Medicare enrollment records show Shana Ageloff-kupetz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

W.A. Foote Memorial Hospital, Inc

1.7 mi

Urology

205 N. EAST AVE, ATTN: PROVIDER ENROLLMENT
Jackson, MI 49201

Reassigned Medicare billing, Michigan enrollment
474 clinicians in this Medicare group

NPI 1073051199 (517) 841-7843

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

210 services119 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.

57 services51 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

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

22 services19 patients

Hospital Affiliations CMS Care Compare

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

Henry Ford Allegiance Health

Acute Care Hospitals · Jackson, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230092

Location205 N East AveJackson, MI 49201 · Jackson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49202 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

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

9 suppliers44 claims100 services$5.08 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers32 claims39 services$0.84 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers14 claims36 services$18.37 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers11 claims11 services$15.76 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers19 claims58 services$2.01 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers19 claims19 services$16.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

MICHAEL DAVID COLLINS M.D.

Family Medicine