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

Stacie R Shaw, PAC

Individual provider Physician Assistant · NPI 1689784837

Stacie R Shaw, PAC is a Physician Assistant in Daggett, Michigan. Qualified in 2006, 20 years ago. Practices with Oconto Hospital and Medical Center Inc, a 217-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
20
Licensed in
MI, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

106 S School Rd
Daggett, MI 49821
Phone: (906) 753-2155
Fax: (906) 753-2716
Show map & directions

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

Additional practice locations (2)

  • 2015 Shawano Ave, Green Bay, WI 54303-2606 — (920) 592-9478
  • 1976 Lime Kiln Rd, Green Bay, WI 54311-4417 — (920) 445-7377

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5601005068 (MI)
Physician Assistant Taxonomy 363A00000X · Licence 1117 (WI)

Record details

NPI number1689784837
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Oconto Hospital And Medical Center Inc — 217 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare