SHANNON MARIE RANELLA PA
NPI 1194025932
Physician Assistant - Surgical in Royal Oak, MI

NPI Status: Active since October 27, 2010

Contact Information

3577 W 13 MILE RD STE 202A
ROYAL OAK, MI
ZIP 48073
Phone: (248) 551-0669

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  • Individual
  • Female
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • PECOS Enrolled

About SHANNON RANELLA

This page provides the complete NPI Profile along with additional information for Shannon Ranella, a provider established in Royal Oak, Michigan with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1194025932 assigned on October 2010. The practitioner's primary taxonomy code is 363AS0400X with license number 5601005873 (MI). The provider is registered as an individual and her NPI record was last updated August 2025.

NPI
1194025932
Provider Name
SHANNON MARIE RANELLA PA
Gender
Female
Entity Type
Individual
Location Address
3577 W 13 MILE RD STE 202A ROYAL OAK, MI 48073
Location Phone
(248) 551-0669
Mailing Address
26901 BEAUMONT BLVD SOUTHFIELD, MI 48033
Is Sole Proprietor?
No
Enumeration Date
10-27-2010
Last Update Date
08-04-2025
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Location Map

Secondary Locations

  • 1500 E Medical Center Dr 2nd floor Taubman Center Recp B
    Ann Arbor, MI 48109
    (734) 936-8857

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5601005873
License State
MI

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Blue Cross� Preferred HMO Bronze Extra - HMO
  • Blue Cross� Preferred HMO Bronze Saver HSA - HMO
  • Blue Cross� Preferred HMO Bronze Secure - HMO
  • Blue Cross� Preferred HMO Gold - HMO
  • Blue Cross� Preferred HMO Gold Extra - HMO
  • Blue Cross� Preferred HMO Silver - HMO
  • Blue Cross� Preferred HMO Silver Extra - HMO
  • Blue Cross� Preferred HMO Silver Saver - HMO
  • Blue Cross� Preferred HMO Value - HMO
  • Blue Cross� Select HMO Bronze Extra - HMO
  • Blue Cross� Premier PPO Bronze Extra - PPO
  • Blue Cross� Premier PPO Bronze HSA - PPO
  • Blue Cross� Premier PPO Bronze Secure - PPO
  • Blue Cross� Premier PPO Gold - PPO
  • Blue Cross� Premier PPO Gold Extra - PPO
  • Blue Cross� Premier PPO Silver - PPO
  • Blue Cross� Premier PPO Silver Extra - PPO
  • Blue Cross� Premier PPO Silver Saver HSA - PPO
  • Blue Cross� Premier PPO Value - PPO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO
  • MyPriority Balanced Silver - HMO
  • MyPriority Premier Silver - HMO
  • MyPriority Standard Bronze - HMO
  • MyPriority Standard Bronze - Travel - HMO
  • MyPriority Standard Gold - HMO
  • MyPriority Standard Silver - HMO
  • MyPriority Standard Silver - Travel - HMO
  • MyPriority Value Bronze - HMO
  • MyPriority Value Bronze HSA - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Shannon Ranella is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for SHANNON MARIE RANELLA PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194025932
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21184021096
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 0 + 2 + 1 + 0 + 9 + 6 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1194025932 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558429886 TAMARA JOHNSON PA
Individual
Physician Assistant3577 W 13 MILE RD STE 202A
ROYAL OAK, MI 48073
(248) 551-0669
1326076209DR. THOMAS JACK WATSON M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)3577 W 13 MILE RD STE 202A
ROYAL OAK, MI 48073
(248) 551-0669
1528501921 HAYLEY ROWE HENDERSON FNP-BC
Individual
Nurse Practitioner (Family)3577 W 13 MILE RD STE 202A
ROYAL OAK, MI 48073
(248) 551-0669
1023461134MS. MIRANDA LEAH KATTY M.S. PA-C
Individual
Physician Assistant (Medical)3577 W 13 MILE RD STE 202A
ROYAL OAK, MI 48073
(248) 551-0669
1568053213 SARA GRACE TRAN PA-C
Individual
Physician Assistant (Medical)3577 W 13 MILE RD STE 202A
ROYAL OAK, MI 48073
(248) 551-0669
1033566393 JORDYN PAULO
Individual
Physician Assistant3577 W 13 MILE RD STE 202A
ROYAL OAK, MI 48073
(248) 551-0669

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194025932, enumerated in the NPI registry as an "individual" on October 27, 2010

The provider is located at 3577 W 13 Mile Rd Ste 202a Royal Oak, Mi 48073 and the phone number is (248) 551-0669

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health, Blue Care. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on October 27, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.