KAITLYN MACKENZIE SHAW
NPI 1952141863
Physician Assistant in Bloomfield Hills, MI

Active since May 29, 2024PECOS EnrolledAccepts Medicare Assignment
2550 S TELEGRAPH RD STE 104, BLOOMFIELD HILLS, MI 48302(248) 972-5143 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kaitlyn Mackenzie Shaw NPPES

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

KAITLYN MACKENZIE SHAW (NPI 1952141863) is an individual physician assistant in Bloomfield Hills, Michigan and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (2024).

NPPES Registry Identity

NPI1952141863
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKAITLYN MACKENZIE SHAW
Location Address2550 S TELEGRAPH RD STE 104Bloomfield Hills, MI 48302-0951
Mailing Address2550 S Telegraph Rd Ste 104Bloomfield Hills, MI 48302-0951
Sole ProprietorYes
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 2024
Enumeration DateMay 29, 2024
Last NPPES UpdateMarch 5, 2026
NPPES CertifiedMarch 5, 2026
NPI 1952141863 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.
2550 S TELEGRAPH RD STE 104, Bloomfield Hills, MI 48302

Other Names 1

Other Name (5)Kaitlyn Mackenzie Davidson

Accepted 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

Kaitlyn Mackenzie Shaw 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 ID9335686468
PECOS Enrollment IDI20240806003929
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 48302 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 3

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

Internal Medicine (Rheumatology)
2550 S TELEGRAPH RD STE 104
BLOOMFIELD HILLS, MI 48302
Dermatology
2550 S TELEGRAPH RD STE 104
BLOOMFIELD HILLS, MI 48302
Internal Medicine (Rheumatology)
2550 S TELEGRAPH RD STE 104
BLOOMFIELD HILLS, MI 48302

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 Kaitlyn Shaw's NPI number?

The NPI number for Kaitlyn Shaw is 1952141863. It was assigned to this individual provider in the NPPES registry on May 29, 2024. The provider is also known as Kaitlyn Mackenzie Davidson.

Where is Kaitlyn Shaw located?

Kaitlyn Shaw practices at 2550 S Telegraph Rd Ste 104, Bloomfield Hills, MI 48302. The listed phone number is (248) 972-5143.

What is Kaitlyn Shaw's specialty?

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

Is Kaitlyn Shaw enrolled in Medicare?

Yes. Kaitlyn 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 Kaitlyn Shaw 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 Kaitlyn 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.

When was this NPI record last updated?

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