SHAWNA M TANNER PHD
NPI 1457980476
Psychologist - Clinical in Grand Rapids, MI
About Shawna M Tanner Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAWNA M TANNER PHD (NPI 1457980476) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6301019355) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Shawna M Tanner Phd 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.
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.
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.
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 Shawna Tanner's NPI number?
The NPI number for Shawna Tanner is 1457980476. It was assigned to this individual provider in the NPPES registry on April 2, 2020.
Where is Shawna Tanner located?
Shawna Tanner practices at 300 68th St SE, Grand Rapids, MI 49548. The listed phone number is (616) 327-8133.
What is Shawna Tanner's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Shawna Tanner enrolled in Medicare?
Yes. Shawna Tanner 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 Shawna Tanner accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Shawna Tanner 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 Shawna Tanner was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Shawna M Tanner, PHD · NPI 1457980476
Clinical provider in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since April 2, 2020.
## Identity
- **NPI:** 1457980476 (Entity type: Individual)
- **Enumerated:** April 2, 2020
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 6301019355 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 300 68TH ST SE, Grand Rapids, MI 49548-6927
- **Phone:** (616) 327-8133 · **Fax:** (616) 327-6904
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** March 4, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1457980476) · Data from the CMS NPPES public registry.