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

Kristine Shango, PA-C

Individual provider Physician Assistant · NPI 1316772866

Kristine Shango, PA-C is a Physician Assistant in Rochester Hills, Michigan. Qualified in 2024, 2 years ago. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2024
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

811 S Blvd E Ste 200
Rochester Hills, MI 48307-5359
Phone: (248) 651-0800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601012712 (MI)

Record details

NPI number1316772866
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 4, 2024
Last updated in NPPESSeptember 8, 2024
Certification dateSeptember 8, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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