IndividualActiveAccepts Medicare

Mackenzie Shattuck, DO

NPI 1336715192 · Pediatrics Physician · Lansing, MI

Enrolled with Medicare as Practitioner - Pediatric Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Provider details

NPI number: 1336715192
Entity type: Individual
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Credential: DO
Sex: Female
Sole proprietor: Yes
License: 5101028121 (MI)

Specialties & taxonomies

Pediatrics PhysicianPrimary208000000XLicense 5101028121 (MI)
Allopathic & Osteopathic Physicians

Profile Score

Detailed profile(75/100 index)

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

Registry tenure33% of score
5 yrs in NPPES registry
Profile completeness33% of score
100% of core fields populated
Practice footprint20% of score
5 documented practice locations
Open Payments transparency13% of score
Has Open Payments disclosures (2024)

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.

Transparency — industry payments

Based on CMS Open Payments, 2024; not all care is captured.

$59 across 3 records (Open Payments 2024)

Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.

Practice location

7335 Westshire Dr Ste 102

Lansing, MI 48917-9703

Phone: (517) 662-1012

Fax: (517) 622-1033

Street-level locationGet directions

More MI providers

Mailing address

804 Service Rd Ste A202

East Lansing, MI 48824-7015

Additional practice locations (4)

4660 S Hagadorn Rd Ste 405
East Lansing, MI 48823-6819
Phone: (517) 884-8600
Fax: (517) 884-8650
13750 S Sedona Pkwy Ste 2
Lansing, MI 48906-8101
Phone: (517) 353-4000
Fax: (844) 722-4112
5303 S Cedar St
Lansing, MI 48911-3800
Phone: (517) 887-4305
Fax: (517) 887-4440
1600 W Grand River Ave Ste 2
Okemos, MI 48864-2394
Phone: (517) 349-6560
Fax: (517) 349-5796

Enumerated: 2021-06-02
Last updated: 2025-01-13
Certified: 2025-01-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.