SHANAE RAMONA WILLIAMS PA-C
NPI 1780577783
Physician Assistant in Flint, MI

Q: What is Shanae Williams's NPI number?

The NPI number for Shanae Williams is 1780577783. It was assigned to this individual provider in the NPPES registry on May 30, 2025.

Q: What is Shanae Williams's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shanae Williams was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 30, 2025PECOS EnrolledAccepts Medicare Assignment

4466 W BRISTOL RD, FLINT, MI 48507(810) 733-1200(810) 733-0688 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Shanae Ramona Williams Pa-c NPPES

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

SHANAE RAMONA WILLIAMS PA-C (NPI 1780577783) is an individual physician assistant in Flint, Michigan and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fenton, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1780577783

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHANAE RAMONA WILLIAMSCredential: PA-C

Location Address4466 W BRISTOL RDFlint, MI 48507-3170

Mailing Address4466 W Bristol RdFlint, MI 48507-3170 · (810) 733-1200 · Fax (810) 733-0688

Phone(810) 733-1200

Fax(810) 733-0688

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 30, 2025

Last NPPES UpdateJuly 15, 2025

NPPES CertifiedJuly 15, 2025

✔ NPI 1780577783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

4466 W BRISTOL RD, Flint, MI 48507

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Secondary Practice Location 1

Location 117015 Silver PkwyFenton, MI 48430-3425 · Phone (810) 593-0023 · Fax (810) 593-0202

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.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

Shanae Ramona Williams Pa-c 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 ID9739687120

PECOS Enrollment IDI20250814000631

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 48507 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.

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.

DAVID AARON DOUBBLESTEIN PT

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