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Active NPI 1689784837 Individual Practitioner Female Practitioner

Stacie R Shaw , PA-C

Physician Assistant • Daggett, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacie Shaw, PA-C is a certified Physician Assistant practicing in Daggett, MI. With approximately 20 years of clinical experience since completing medical education in 2006, Stacie Shaw delivers high-quality medical care to the local community at 106 S SCHOOL ROAD.

Stacie Shaw maintains professional affiliations with Oconto Hospital And Medical Center Inc, Bellin Memorial Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include routine electrocardiogram (ecg) using at least 12 leads with tracing, insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

106 S School Road

Daggett, MI 49821

Telephone 9067532155
Fax 9067532716
Associated Practice Facility / Clinic
🏢 Northreach Healthcare, Llc Facility NPI 1033261623

Medicare Profile & Education

Medical School

Other

Graduation Year

2006

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Daggett, MI

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
20 Yrs Matches City Avg
City Avg: 20.0 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Daggett, MI (7057 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shaw (20 Years) 20 Yrs
Daggett Specialty Average (20.0 Years) 20.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
11 11 $29.27 $5.78

Medical Specialties & State Licenses

CMS Verified: 2026-01-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601005068

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WI 1117

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
42982000 (WI)
Commercial Insurance / Payer ID National Commission On Certified Physicians Assistants
1031550
Commercial Insurance / Payer ID Michigan Medicare
0N41200012 (MI)

Hospital & Practice Group Affiliations

Bellin Memorial Hospital Inc

440 Woodward Ave, Iron Mountain, MI 498014631

Phone: 9067769040

Oconto Hospital And Medical Center Inc

1100 10th St, Menominee, MI 498583062

Phone: 9068637897

Bellin Memorial Hospital Inc

2020 S Webster Ave, Green Bay, WI 543013505

Bellin Memorial Hospital Inc

725 S Webster Ave, Green Bay, WI 543013504

Phone: 9204333456

Bellin Memorial Hospital Inc

744 S Webster Ave, Green Bay, WI 543013505

Oconto Hospital And Medical Center Inc

106 S School Rd, Daggett, MI 498218555

Phone: 9067532155

Bellin Memorial Hospital Inc

725 S Webster Ave, Green Bay, WI 543013504

Phone: 9204333456

Oconto Hospital And Medical Center Inc

820 Arbutus Ave, Oconto, WI 541532004

Phone: 9208351100

Oconto Hospital And Medical Center Inc

2820 Roosevelt Rd, Marinette, WI 541433834

Phone: 7157355225

Oconto Hospital And Medical Center Inc

441 French St, Peshtigo, WI 541571203

Phone: 7155829949

Secondary Practice Locations

1976 Lime Kiln Rd

Green Bay, WI 543114417

Phone: 9204457377

2015 Shawano Ave

Green Bay, WI 543032606

Phone: 9205929478

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kelly Florenski , PT

Physical Therapist

NPI 1194225771

Physical Therapist

Dr. Paul Haupt , DO

Family Medicine

NPI 1952483067

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Business Mailing Address January 05, 2026

Registered at 744 S WEBSTER AVE, MEDICAL STAFF SERVICES, GREEN BAY, WI 543013505 (Tel: 9204337860)

👤
Provider Name / Credentials Updated January 05, 2026

Recorded as STACIE SHAW, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 05, 2026

Physician Assistant (License #1117 in WI)

📍
Updated Business Mailing Address January 20, 2020

Registered at PO BOX 1866, GREEN BAY, WI 543051866 (Tel: 9204457222)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2020

Physician Assistant (License #5601005068 in MI)

NPI Profile Active October 05, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2011

Registered at 106 S SCHOOL ROAD, DAGGETT, MI 49821 (Tel: 9067532155)

📍
Updated Business Mailing Address October 05, 2011

Registered at 106 S SCHOOL ROAD, DAGGETT, MI 49821 (Tel: 9067532155)

👤
Provider Name / Credentials Updated October 05, 2011

Recorded as STACIE MURRAY, PAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2011

Physician Assistant (License #1117 in WI)

🟢
Initial NPI Registration & Enumeration August 30, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1689784837
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2006
Last Update: January 05, 2026
Sole Proprietor: No

Mailing Address

744 S Webster Ave, Medical Staff Services

Green Bay, WI 543013505

Phone: 9204337860

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.