Shamoon Mian, PA-C
NPI 1417763087 · Physician Assistant · Green Bay, WI
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shamoon Mian, PA-C is a Physician Assistant provider in Green Bay, WI (NPI 1417763087).
Provider details
- NPI number
- 1417763087
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 853023 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% 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
Mailing address
Registry dates
- Enumerated
- 2024-12-09
- Last updated
- 2025-10-03
- Certified
- 2025-10-03
Frequently asked questions
- What is Shamoon Mian's NPI number?
- Shamoon Mian's National Provider Identifier (NPI) is 1417763087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shamoon Mian's specialty?
- Shamoon Mian is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shamoon Mian located?
- Shamoon Mian's practice location on file with NPPES is 3059 Voyager Dr, Green Bay, WI 54311-8303.
- What is Shamoon Mian's phone number?
- The practice phone number listed in the NPPES registry for Shamoon Mian is (920) 965-0345.
- Does Shamoon Mian accept Medicare?
- Shamoon Mian is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shamoon Mian's NPI active?
- Yes — Shamoon Mian's NPI (1417763087) is active in the NPPES registry as of the last update on 2025-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.