What is Shannon Pavlak's NPI number?

Shannon Pavlak's National Provider Identifier (NPI) is 1063393718, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Shannon Pavlak's specialty?

Shannon Pavlak is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Shannon Pavlak located?

Shannon Pavlak's practice location on file with NPPES is 909 Wilson Rd, East Lansing, MI 48824-6410.

What is Shannon Pavlak's phone number?

The practice phone number listed in the NPPES registry for Shannon Pavlak is (517) 353-2460.

Is Shannon Pavlak's NPI active?

Yes — Shannon Pavlak's NPI (1063393718) is active in the NPPES registry as of the last update on 2026-04-22.

IndividualActive

Shannon Pavlak

NPI 1063393718 · Physician Assistant · East Lansing, MI

Shannon Pavlak is a Physician Assistant provider in East Lansing, MI (NPI 1063393718).

Provider details

NPI number: 1063393718
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Basic profile(47/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

909 Wilson Rd

East Lansing, MI 48824-6410

Phone: (517) 353-2460

Street-level locationGet directions

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Mailing address