Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Shannon M Jansma, PA-C

Individual provider Surgical Physician Assistant · NPI 1275635898

Mrs. Shannon M Jansma, PA-C is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2005, 21 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
21
Licensed in
MI
In the registry since
2006
Specialties on file
2
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

275 Michigan St NE
Grand Rapids, MI 49503-2531
Phone: (616) 391-2802
Fax: (616) 391-2840
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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 5601004657 (MI)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 5601004657 (MI)

Record details

NPI number1275635898
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 3, 2006
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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