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STACIE R SHAW PAC
NPI 1689784837
Physician Assistant in Daggett, MI

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
106 S SCHOOL ROAD, DAGGETT, MI 49821(906) 753-2155(906) 753-2716 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 5, 2026, Jan 20, 2020 (2 updates tracked since 2020).

About Stacie R Shaw Pac NPPES

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

STACIE R SHAW PAC (NPI 1689784837) is an individual physician assistant in Daggett, Michigan, licensed in Michigan (5601005068) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689784837
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSTACIE R SHAWCredential: PAC
Location Address106 S SCHOOL ROADDaggett, MI 49821
Mailing Address744 S Webster Ave, Medical Staff ServicesGreen Bay, WI 54301-3505 · (920) 433-7860 · Fax (920) 433-3707
Phone(906) 753-2155
Fax(906) 753-2716
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 30, 2006
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1689784837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in MI · 5601005068✔ Licensed in WI · 1117
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.
106 S SCHOOL ROAD, Daggett, MI 49821
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Other Names 1

Former Name (1)Stacie R Murray Pa

Secondary Practice Locations 2

Location 11976 Lime Kiln RdGreen Bay, WI 54311-4417 · Phone (920) 445-7377 · Fax (920) 592-9479
Location 22015 Shawano AveGreen Bay, WI 54303-2606 · Phone (920) 592-9478 · Fax (920) 592-9479

Other Identifiers 3

Other1031550National Commission On Certified Physicians Assistants
Medicaid42982000WI
Other0N41200012MI · Michigan Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners.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

Stacie R Shaw Pac 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 ID4688568298
PECOS Enrollment IDI20040212000590, I20070912000173
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.

Areas of Expertise CMS Part B claims

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.

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Bay Area Medical Center

Acute Care Hospitals · Marinette, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520113
Location3003 University DrMarinette, WI 54143 · Marinette County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49821 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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
4 suppliers19 claims38 services$5.91 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims7,762 services$0.36 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
2 suppliers15 claims15 services$49.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$108.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Stacie Shaw's NPI number?

The NPI number for Stacie Shaw is 1689784837. It was assigned to this individual provider in the NPPES registry on August 30, 2006. The provider is also known as Stacie R Murray PA.

Where is Stacie Shaw located?

Stacie Shaw practices at 106 S School Road, Daggett, MI 49821. The listed phone number is (906) 753-2155.

What is Stacie Shaw's specialty?

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

Is Stacie Shaw enrolled in Medicare?

Yes. Stacie Shaw 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 Stacie Shaw accept?

Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Stacie Shaw 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.

Is Stacie Shaw affiliated with any hospitals?

According to CMS data, Stacie Shaw is affiliated with Bellin Memorial Hospital and Bay Area Medical Center.

When was this NPI record last updated?

The NPPES record for Stacie Shaw was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.