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

Individual provider Surgical Physician Assistant · NPI 1194025932

Shannon Marie Ranella, PA is a Physician Assistant in Royal Oak, Michigan. Qualified in 2010, 16 years ago. Practices with Beaumont Medical Group- Specialty Services, a 858-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2010
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

3577 W 13 Mile Rd Ste 202A
Royal Oak, MI 48073-6710
Phone: (248) 551-0669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5344 — (734) 936-8857

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 5601005873 (MI)

Record details

NPI number1194025932
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 27, 2010
Last updated in NPPESAugust 4, 2025
Certification dateAugust 4, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Beaumont Medical Group- Specialty Services — 858 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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