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SHELLY RIDDELL PA
NPI 1861687675
Physician Assistant in Ann Arbor, MI

Active since September 14, 2007PECOS Enrolled
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP F, ANN ARBOR, MI 48109(734) 936-5738 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shelly Riddell Pa NPPES

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

SHELLY RIDDELL PA (NPI 1861687675) is an individual physician assistant in Ann Arbor, Michigan, licensed in Michigan (5601004186) and active in the NPI registry since September 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Michigan Health System, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1861687675
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELLY RIDDELLCredential: PA
Location Address1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP FAnn Arbor, MI 48109-0332
Mailing Address3621 S State St, 700 Kms PlaceAnn Arbor, MI 48108 · (734) 936-2047
Phone(734) 936-5738
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 14, 2007
Last NPPES UpdateMarch 27, 2008
✔ NPI 1861687675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MI · 5601004186
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.
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License 5601004186 (MI)
1500 EAST MEDICAL CENTER DR, Ann Arbor, MI 48109
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Other Identifiers 2

Medicare UPINQ04829MI
Medicare PINM52870083MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelly Riddell Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032007653
PECOS Enrollment IDI20040305000918
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.

Hospital Affiliations CMS Care Compare

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

University Of Michigan Health System

Acute Care Hospitals · Ann Arbor, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230046
Location1500 E Medical Center Drive, Spc 5474Ann Arbor, MI 48109 · Washtenaw County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier13 claims4,560 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier23 claims15,060 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier23 claims6,120 services$0.19 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims1,800 services$0.99 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers26 claims26 services$18.94 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers34 claims57 services$12.61 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

NABIL ALKHOURY FALLOUH MD
Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CTR RECP B
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5582
PAUL DEREK FERNANDES BM
Anesthesiology
1500 EAST MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4280
AUBREY LYNN BOUCHER PA-C
Physician Assistant
1500 EAST MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CENTER RECP F
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5738
DONALD LAWSON JR. NP
Nurse Practitioner
1500 EAST MEDICAL CENTER DR, 3RD FLOOR C.S. MOTT CHILDREN'S HOSPITAL RECP C
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5780
MS. ALEXIS MAE PUNCHES NP
Nurse Practitioner (Critical Care Medicine)
1500 EAST MEDICAL CENTER DR, 12TH FLOOR C.S. MOTT CHILDRENS HOSPITAL RM 525
ANN ARBOR, MI 48109
Washtenaw County (734) 764-5302
PAULA K GLOBERSON CRNA
Nurse Anesthetist, Certified Registered
1500 EAST MEDICAL CENTER DR
ANN ARBOR, MI 48109
Washtenaw County (734) 936-4280
DR. CLINTON LEOPOLD GREENSTONE MD
Internal Medicine
1500 EAST MEDICAL CENTER DR, 3RD FLOOR TAUBMAN RECP B
ANN ARBOR, MI 48109
Washtenaw County (734) 936-5582
RAYMOND J HUTCHINSON MD
Pediatrics (Pediatric Hematology-Oncology)
1500 EAST MEDICAL CENTER DR, 7TH FLOOR C.S. MOTT CHILDREN'S HOSPITAL
ANN ARBOR, MI 48109
Washtenaw County (734) 936-9814

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 Shelly Riddell's NPI number?

The NPI number for Shelly Riddell is 1861687675. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is Shelly Riddell located?

Shelly Riddell practices at 1500 East Medical Center Dr 2nd Floor Taubman Ctr Recp F, Ann Arbor, MI 48109. The listed phone number is (734) 936-5738.

What is Shelly Riddell's specialty?

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

Is Shelly Riddell enrolled in Medicare?

Yes. Shelly Riddell is registered in the Medicare PECOS enrollment system.

What insurance does Shelly Riddell accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Shelly Riddell 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 Shelly Riddell affiliated with any hospitals?

According to CMS data, Shelly Riddell is affiliated with University Of Michigan Health System.

When was this NPI record last updated?

The NPPES record for Shelly Riddell was last updated on March 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.