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Shannon M Jansma

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

275 Michigan St NE, Grand Rapids, MI 49503-2531

PECOS Enrollment

This provider is enrolled in PECOS as SHANNON JANSMA.

Based on the most recent information from CMS, provider Shannon M Jansma is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 10:37 AM.

Profile Details

Provider ID
1275635898
Provider Type
Individual
Full Name
Jansma, Shannon M
Title
Mrs.
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
9/3/2006
Last Updated
12/19/2024

Contact Information

Practice Location

275 Michigan St NE, Grand Rapids, MI 49503-2531

(616) 391-2802

(616) 391-2840

Mailing Location

100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601004657 Michigan
Code 363AS0400X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 5601004657 Michigan

Shannon M Jansma

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Mccolley, Sarah

Reiff, Rebekah A

Calkins, Laura Elizabeth

Vandeusen, Julie

Vandenberg, Jennifer Renee

Rogers, Abby Jayne

Marchinek, Erik Louis

Romine, Dina Barbara Kaissi

Huisken, Briana

Stalsonburg, Daniel J