AVA MARIE SHAMOON PA-C
NPI 1881488195
Physician Assistant in Rochester, MI

Q: What is Ava Shamoon's NPI number?

The NPI number for Ava Shamoon is 1881488195. It was assigned to this individual provider in the NPPES registry on April 9, 2025.

Q: What is Ava Shamoon'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 Ava Shamoon was last updated on April 3, 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.

Active since April 09, 2025PECOS EnrolledAccepts Medicare Assignment

1101 W UNIVERSITY DR, ROCHESTER, MI 48307(248) 652-5232 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 3, 2026, Mar 3, 2026, Apr 9, 2025 (3 updates tracked since 2025).

On this page

About Ava Marie Shamoon Pa-c NPPES

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

AVA MARIE SHAMOON PA-C (NPI 1881488195) is an individual physician assistant in Rochester, Michigan, licensed in Michigan (5601012975) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1881488195

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameAVA MARIE SHAMOONCredential: PA-C

Location Address1101 W UNIVERSITY DRRochester, MI 48307-1863

Mailing Address1101 W University DrRochester Hills, MI 48307-1863

Phone(248) 652-5232

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 9, 2025

Last NPPES UpdateApril 3, 20263 updates tracked since enumeration

NPPES CertifiedApril 3, 2026

✔ NPI 1881488195 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 · 5601012975

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.

1101 W UNIVERSITY DR, Rochester, MI 48307

Open in Google Maps ↗

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.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

Ava Marie Shamoon 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 ID2769908839

PECOS Enrollment IDI20250501001483

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.

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number230019

Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48307 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.

DR. EMECHETA SAMUEL AJAERO MD

Internal Medicine