DR. SPENCER ANDREW SHILLINGLAW DO
NPI 1477254092
Student in an Organized Health Care Education/Training Program in Wyoming, MI

Q: What is Spencer Shillinglaw's NPI number?

The NPI number for Spencer Shillinglaw is 1477254092. It was assigned to this individual provider in the NPPES registry on March 10, 2023.

Q: What is Spencer Shillinglaw's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 10, 2023PECOS Enrolled

5900 BYRON CENTER AVE SW, WYOMING, MI 49519(616) 252-7200(616) 252-4953 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 14, 2025, Mar 10, 2023 (2 updates tracked since 2023).

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About Dr. Spencer Andrew Shillinglaw Do NPPES

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

DR. SPENCER ANDREW SHILLINGLAW DO (NPI 1477254092) is an individual student in an organized health care education/training program in Wyoming, Michigan and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1477254092

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. SPENCER ANDREW SHILLINGLAWCredential: DO

Location Address5900 BYRON CENTER AVE SWWyoming, MI 49519-9606

Mailing Address5900 Byron Center Ave SwWyoming, MI 49519-9606 · (616) 252-7200 · Fax (616) 252-4953

Phone(616) 252-7200

Fax(616) 252-4953

Sole ProprietorNo

Enumeration DateMarch 10, 2023

Last NPPES UpdateMay 14, 20252 updates tracked since enumeration

NPPES CertifiedMay 14, 2025

✔ NPI 1477254092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5900 BYRON CENTER AVE SW, Wyoming, MI 49519

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Spencer Andrew Shillinglaw Do 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.

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.

MATTHEW AARON ERCK DO

Internal Medicine