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

Shantel Lynn Bleeker, PA-C, RD

Individual provider Medical Physician Assistant · NPI 1710389853

Shantel Lynn Bleeker, PA-C, RD is a Physician Assistant in Portage, Michigan. Qualified in 2014, 12 years ago. Practices with Beacon Medical Group Inc, a 574-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
12
Licensed in
MI
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

3304 Cooley Ct
Portage, MI 49024
Phone: (269) 349-2266
Fax: (269) 349-0792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 3304 Cooley Ct, Portage, MI 49024 — (269) 349-2266
  • 1650 Ramblewood Dr. Suite 100, Lansing, MI 48823 — (517) 332-1200

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 5601007179 (MI)

Record details

NPI number1710389853
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C , RD
Sole proprietorNo
NPI enumeratedSeptember 19, 2014
Last updated in NPPESJanuary 21, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Beacon Medical Group Inc — 574 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Portage