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

Shaye Dostal, PA

Individual provider Pain Medicine (Anesthesiology) Physician · NPI 1104796234

Shaye Dostal, PA is a Physician Assistant in Kenosha, Wisconsin. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2025, 1 year ago. Practices with Midwest Sports and Interventional Spine SC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
1
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
WI
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

4824 Green Bay Rd
Kenosha, WI 53144-1789
Phone: (262) 299-6199
Show map & directions

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

Additional practice locations (1)

  • 850 Geneva Pkwy N Ste 100, Lake Geneva, WI 53147-4562 — (262) 299-6199

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 870923 (WI)

Record details

NPI number1104796234
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 5, 2025
Last updated in NPPESNovember 5, 2025
Certification dateNovember 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2025 (1 years in practice)
Group practice Midwest Sports And Interventional Spine Sc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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