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

Individual provider Physician Assistant · NPI 1326762378

Shelby Burkholder, PA is a Physician Assistant in Grand Rapids, Michigan. Qualified in 2022, 4 years ago. Practices with Pine Rest Christian Mental Health Services, a 353-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
4
Licensed in
MI
In the registry since
2022
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

300 68th St SE
Grand Rapids, MI 49548-6927
Phone: (616) 455-5000
Fax: (616) 281-6459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6505 Cherry Meadow Dr Se, Caledonia, MI 49316-9484 — (616) 891-8770

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601011341 (MI)

Record details

NPI number1326762378
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 3, 2022
Last updated in NPPESSeptember 19, 2023
Certification dateSeptember 19, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pine Rest Christian Mental Health Services — 353 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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