IRENE SHAO PA-C
NPI 1689411837
Physician Assistant in Canton, MI

Active since July 13, 2024PECOS Enrolled
1600 S CANTON CENTER RD, CANTON, MI 48188(734) 844-8743(734) 844-8744 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2026, May 31, 2026, Jul 13, 2024 (3 updates tracked since 2024).

About Irene Shao Pa-c NPPES

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

IRENE SHAO PA-C (NPI 1689411837) is an individual physician assistant in Canton, Michigan, licensed in Michigan (5601014014) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689411837
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameIRENE SHAOCredential: PA-C
Location Address1600 S CANTON CENTER RDCanton, MI 48188-1992
Mailing Address24 Frank Lloyd Wright Dr # J2000Ann Arbor, MI 48105-9484 · (734) 747-6766
Fax(734) 844-8744
Sole ProprietorYes
Enumeration DateJuly 13, 2024
Last NPPES UpdateJune 4, 20263 updates tracked since enumeration
NPPES CertifiedJune 4, 2026
NPI 1689411837 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 · 5601014014
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.
1600 S CANTON CENTER RD, Canton, MI 48188

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Irene Shao 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 48188 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
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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 20

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

Pediatrics
1600 S CANTON CENTER RD, STE 200
CANTON, MI 48188
Family Medicine
1600 S CANTON CENTER RD
CANTON, MI 48188
Physician Assistant
1600 S CANTON CENTER RD
CANTON, MI 48188
Internal Medicine
1600 S CANTON CENTER RD
CANTON, MI 48188
Student in an Organized Health Care Education/Training Program
1600 S CANTON CENTER RD, STE 220
CANTON, MI 48188
Specialist
1600 S CANTON CENTER RD, STE 360
CANTON, MI 48188
Clinic/Center (Infusion Therapy)
1600 S CANTON CENTER RD
CANTON, MI 48188
Clinic/Center (Occupational Medicine)
1600 S CANTON CENTER RD, SUITE 140
CANTON, MI 48188

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 Irene Shao's NPI number?

The NPI number for Irene Shao is 1689411837. It was assigned to this individual provider in the NPPES registry on July 13, 2024.

Where is Irene Shao located?

Irene Shao practices at 1600 S Canton Center Rd, Canton, MI 48188. The listed phone number is (734) 844-8743.

What is Irene Shao's specialty?

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

Is Irene Shao enrolled in Medicare?

Yes. Irene Shao is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Irene Shao was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.