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

Ketevan Shonia

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1518642271

Ketevan Shonia is a Physician Assistant in Merrill, Wisconsin. Qualified in 2025, 1 year ago. Practices with Aspirus Wausau Hospital Inc, a 240-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2023
Specialties on file
2

Practice location Address checks out

3333 E Main St
Merrill, WI 54452-8959
Phone: (715) 539-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1518642271
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 20, 2023
Last updated in NPPESSeptember 3, 2025
Certification dateSeptember 3, 2025
Mailing address3333 E Main St, Merrill, WI 54452-8959

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Aspirus Wausau Hospital Inc — 240 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Merrill