NPI
Shantel Lynn Bleeker
NPI 1710389853
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- PA-C, RD
- Type
- Individual
- Enumeration date
- 2014-09-19
- Last updated
- 2019-01-21
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Specialties
Licenses
- License MI
- 5601007179
Location
- Practice location
- 3304 Cooley Ct
- City
- Portage MI
- Postal code
- 49024
- Phone
- (269) 349-2266
- Fax
- (269) 349-0792
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Medical Physician Assistants in Portage, MI. 8 with this primary taxonomy in the public file.
Other NPIs in Portage, MI. 1,939 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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