Shamoon Mian, PA-C
Physician Assistant · Green Bay, WI
Shamoon Mian, PA-C is a physician assistant with a practice address in Green Bay, Wisconsin, and NPI 1417763087, issued on Dec 9, 2024. Check the license (Wisconsin 853023, as entered in NPPES) with the Wisconsin board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shamoon Mian
- Credential
- PA-C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- 853023 WI
Self-reported in NPPES; status is on the state search - Practice location
- 3059 Voyager Dr, Green Bay, WI 54311
- Phone
- (920) 965-0345
- Enumerated
- Dec 9, 2024
- Record last updated
- Oct 3, 2025
- Medicare enrollment
- Enrolled (PECOS I20251224000373); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 3,475 in Wisconsin → Look up another NPI →
Also registered at 3059 Voyager Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Katelyn TaylorPhysician Assistant1053982017
Verify Shamoon Mian in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Wisconsin board licenses this profession
Search for license 853023Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- New Dermatology Group LtdEscanaba, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shamoon Mian among 3,475 physician assistant records in Wisconsin
Shamoon Mian, PA-C is one of 3,475 physician assistant records with a practice address in Wisconsin. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 90% of them.
- NPI issued2024 · 90% of these records are older, 6% newer
- In a Medicare fileYes · 81% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2025 · median 2016 among the 2,491 with a school on file
- Record last updated2025 · 38% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Wisconsin practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
182 physician assistant records list a practice address in Green Bay
They are 182 of the 4,619 NPPES records with a practice address in Green Bay, and 3,475 physician assistant records in Wisconsin.
All 3,475 in Wisconsin → Every provider in Green Bay → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Heather Allen, P.AGreen Bay, WI 543111780675603
- Isadora Asman, PAGreen Bay, WI 543111598972788
- Jennifer Bratonia, PAGreen Bay, WI 543111447262290
- Todd Bruss, ATC, LAT, CSCS, PA-CGreen Bay, WI 543111417178443
- Robert Capello, PA-CGreen Bay, WI 543111184721656
- Bonnie Glinski, PAGreen Bay, WI 543111295750180
- Gerald Gozner, PACGreen Bay, WI 543111134228554
- Jared Hocking, PAGreen Bay, WI 543111205848926
Common questions
What is Shamoon Mian, PA-C's NPI number?
Shamoon Mian, PA-C's National Provider Identifier (NPI) is 1417763087, issued on Dec 9, 2024. An NPI identifies a provider in billing; it is not a license.
Where is Shamoon Mian, PA-C located?
The NPPES record lists a practice address at 3059 Voyager Dr, Green Bay, WI, 54311. Phone: (920) 965-0345. Providers update this record themselves, so call before visiting.
How can I verify Shamoon Mian, PA-C's license?
NPPES lists Wisconsin license number 853023, as entered by the provider. Search the Wisconsin board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.