KENNEDY JANE SHUCK PA-C
NPI 1467231605
Physician Assistant in Ann Arbor, MI
NPI Status: Active since September 27, 2023
Contact Information
1500 E MEDICAL CENTER DR
ANN ARBOR, MI
ZIP 48109
Phone: (734) 936-4000
- Individual
- Female
- Years of Experience 3
- Physician Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About KENNEDY SHUCK
This page provides the complete NPI Profile along with additional information for Kennedy Shuck, a primary care provider established in Ann Arbor, Michigan with a medical specialization in Physician Assistant and more than 3 years of experience. The healthcare provider is registered in the NPI registry with number 1467231605 assigned on September 2023. The practitioner's primary taxonomy code is 363A00000X with license number 5601011990 (MI). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1467231605
- Provider Name
- KENNEDY JANE SHUCK PA-C
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109
- Location Phone
- (734) 936-4000
- Mailing Address
- 3621 S STATE ST ANN ARBOR, MI 48108
- Mailing Phone
- (734) 647-5299
- Medical School Name
- OTHER
- Graduation Year
- 2023
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-27-2023
- Last Update Date
- 12-16-2024
- Code Navigator
A primary care provider (PCP) like Kennedy Shuck sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Secondary Locations
- 3000 Arlington Ave
Toledo, OH 43614
(419) 530-4636
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
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 5601011990
- License State
- MI
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 50.008442RX (OH) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5400 for HSA - HMO
- Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- SilverSelect w/ Virtual & Wellness ON-EX - HMO
- Young Adult Essentials ON-EX - HMO
- Bronze 10 - HMO
- Bronze 8 - HMO
- Bronze 9 - HMO
- 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 free PCP or MH visits - HMO
- Silver 8 - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Bronze Value ($5 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage ($3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Gold Standard+ (Dental + Vision, No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Kennedy Shuck is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Kennedy Shuck 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
PECOS PAC ID: 7810336062
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20240419002725
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.69 for a new patient copayment and $18.09 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 48109 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $90.76
- Minimum New Patient Price $58.04
- Maximum New Patient Price $177.36
- Average New Patient Copayment $22.69
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $44.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.38
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $143.49
- Average Established Patient Copayment $18.09
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $35.87
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kennedy Shuck is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
UNIVERSITY OF TOLEDO MEDICAL CENTER | 3000 ARLINGTON AVENUE TOLEDO, OH 43699 | (419) 383-4848 | Acute Care Hospitals |
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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. | |||||||||
1 | 4 | 6 | 7 | 2 | 3 | 1 | 6 | 0 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 4 | 12 | 7 | 4 | 3 | 2 | 6 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 4 + 1 + 2 + 7 + 4 + 3 + 2 + 6 + 0 + 24 = 55 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 55 = 5 | 5 |
The NPI number 1467231605 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1669475836 | DR. TAMI L. REMINGTON PHARM.D. Individual | Pharmacist (Pharmacotherapy) | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 936-5023 |
1275536401 | DR. JAMES G STEVENSON PHARMD Individual | Pharmacist | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 647-7794 |
1508864315 | DR. SALLY K GUTHRIE PHARM.D. Individual | Pharmacist (Psychiatric) | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 647-2350 |
1871586719 | DR. KARLA AURORA BLACKWOOD MD Individual | Psychiatry & Neurology (Psychiatry) | 1500 E MEDICAL CENTER DR B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY ANN ARBOR, MI 48109 (734) 996-4747 |
1871586479 | DEBORAH LOUISE VIHER NP Individual | Nurse Practitioner | 1500 E MEDICAL CENTER DR 3RD FLOOR TAUBMAN CENTER RECP D ANN ARBOR, MI 48109 (734) 647-5944 |
1265420228 | MS. DEBRA BANCROFT RIZZO F.N.P.-C Individual | Nurse Practitioner | 1500 E MEDICAL CENTER DR 3RD TAUBMAN CENTER RECP A ANN ARBOR, MI 48109 (734) 647-5900 |
1992794481 | WILLIAM CHARLES STACEY M.D., PHD Individual | Psychiatry & Neurology (Neurology) | 1500 E MEDICAL CENTER DR 1ST FLOOR TAUBMAN CENTER RECP C ANN ARBOR, MI 48109 (734) 936-9010 |
1104809623 | DR. ELIZABETH KATHERINE SPELIOTES MD PHD Individual | Internal Medicine (Gastroenterology) | 1500 E MEDICAL CENTER DR 3RD FLOOR TAUBMAN CENTER RECP D ANN ARBOR, MI 48109 (734) 647-5944 |
1114903549 | DR. ROBERT ADAM LIOTTA M.D. Individual | Radiology (Diagnostic Radiology) | 1500 E MEDICAL CENTER DR B1 FLOOR UNIVERSITY HOSPITAL RECP C ANN ARBOR, MI 48109 (734) 936-4566 |
1114998580 | LISA A HARRIS SPINNER CRNA Individual | Nurse Anesthetist, Certified Registered | 1500 E MEDICAL CENTER DR 1ST FLOOR TAUBMAN CENTER RECP E ANN ARBOR, MI 48109 (734) 763-6295 |
1801863741 | SHANNON LEE MITCHELL CRNA Individual | Nurse Anesthetist, Certified Registered | 1500 E MEDICAL CENTER DR 1H247 UNIVERSITY HOSPITAL ANN ARBOR, MI 48109 (734) 936-4280 |
1841267788 | CHRISTINA BUSH CRNA Individual | Nurse Anesthetist, Certified Registered | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 936-4280 |
1922076215 | MARLENA STANKIEWICZ CRNA Individual | Nurse Anesthetist, Certified Registered | 1500 E MEDICAL CENTER DR 1H247 UNIVERSITY HOSPITAL ANN ARBOR, MI 48109 (734) 936-4280 |
1497724835 | DENISE R BAUER N.P. Individual | Nurse Practitioner | 1500 E MEDICAL CENTER DR 7TH FLOOR MOTT RM F7830 ANN ARBOR, MI 48109 (734) 763-7354 |
1972564458 | MRS. CARRIE LEE LINT RN ACNP Individual | Nurse Practitioner | 1500 E MEDICAL CENTER DR 2ND FLOOR TAUBMAN CENTER RECP G ANN ARBOR, MI 48109 (734) 936-7010 |
1851353932 | MRS. TAMARA MANGAN GHORMLEY NP Individual | Nurse Practitioner (Family) | 1500 E MEDICAL CENTER DR B1 FLOOR CANCER CTR RECP C ANN ARBOR, MI 48109 (734) 936-6000 |
1568428951 | ELENA MARTINEZ STOFFEL MD MPH Individual | Internal Medicine (Gastroenterology) | 1500 E MEDICAL CENTER DR 3RD FLOOR TAUBMAN CENTER RECP D ANN ARBOR, MI 48109 (734) 647-5944 |
1639137110 | DR. DAVID J BROWN M.D. Individual | Otolaryngology | 1500 E MEDICAL CENTER DR 2ND FLOOR TAUBMAN CTR RECP G ANN ARBOR, MI 48109 (734) 936-5730 |
1710938931 | CORRIE M YABLON MD Individual | Radiology (Diagnostic Radiology) | 1500 E MEDICAL CENTER DR 2ND FLOOR TAUBMAN CENTER RECP A ANN ARBOR, MI 48109 (734) 936-5850 |
1114972742 | KEITH GINGERICH CRNA Individual | Nurse Anesthetist, Certified Registered | 1500 E MEDICAL CENTER DR ANN ARBOR, MI 48109 (734) 936-4280 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467231605, enumerated in the NPI registry as an "individual" on September 27, 2023
The provider is located at 1500 E Medical Center Dr Ann Arbor, Mi 48109 and the phone number is (734) 936-4000
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider has more than 3 years of experience.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. 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.
Medicare beneficiaries should expect a typical cost of $90.76 with an average copayment of $22.69 for new patient appointments. Established patients should expect a typical charge of $72.38 and an average copayment of 18.09. Please review your insurance plan or contact the provider directly to determine your specific costs.
The practitioner is affiliated to the following hospital(s): UNIVERSITY OF TOLEDO MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on September 27, 2023. 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.