Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaitlyn Mackenzie Shaw

Individual provider Physician Assistant · NPI 1952141863

Kaitlyn Mackenzie Shaw is a Physician Assistant in Bloomfield Hills, Michigan. Graduated from University of Michigan Medical School in 2024, 2 years ago. Practices with Dermatology and Cosmetic Center PLLC, a 9-clinician group and accepts Medicare assignment.

Years since qualifying
2
Trained at
University of Michigan Medical School
In the registry since
2024
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Practice location Address checks out

2550 S Telegraph Rd Ste 104
Bloomfield Hills, MI 48302-0951
Phone: (248) 972-5143
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1952141863
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 29, 2024
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026
Mailing address2550 S Telegraph Rd Ste 104, Bloomfield Hills, MI 48302-0951

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated 2024 (2 years in practice)
Group practice Dermatology And Cosmetic Center Pllc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bloomfield Hills