Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Kathryn S Shaffer, MD

Individual provider Family Medicine Physician · NPI 1487940631

Dr. Kathryn S Shaffer, MD is a Family Practice in Traverse City, Michigan. Graduated from Medical College of Wisconsin in 2011, 15 years ago. Practices with Munson Medical Group, a 189-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
15
Trained at
Medical College of Wisconsin
Licensed in
MI
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 Medical Campus Dr
Traverse City, MI 49684-7823
Phone: (231) 935-8000
Fax: (231) 935-8099
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 4301099198 (MI)

Record details

NPI number1487940631
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2011
Last updated in NPPESDecember 29, 2020
Certification dateDecember 29, 2020
Mailing address2513 Momentum Pl, Chicago, IL 60689-5325

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2011 (15 years in practice)
Group practice Munson Medical Group — 189 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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