Doctor profile · Federal record

Dr. Shaletta Nuckolls, PA-C

Physician Assistant · West Bloomfield, MI

  • NPI 1568083426
  • Accepts Medicare
  • 6 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
6777 W Maple RD
West Bloomfield, MI 483223013
(248) 325-1000

Credentials & registration

NPPES · NUCC
NPI registered
May 2020 — 6 yrs on file
Profile last updated
March 7, 2024
Year of graduation
2020 — 6 yrs since
Specialty taxonomy
363A00000X — NUCC code
State license (1)
Michigan #5601009964

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1568083426. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
56
Distinct HCPCS
2
Medicare allowed
$6,195
HCPCS Description Services Patients Avg allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 35 35 $113
99284 Emergency department visit with moderate level of medical decision making 21 20 $106

In context: peer comparison

Among 25 peers in this city , average services per provider: 55. This provider delivers 1.0× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$56
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Ambu Inc. 1 $56.03

By nature of payment

Food and Beverage
$56

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Shaletta Nuckolls's medical specialty?
Dr. Shaletta Nuckolls practices Physician Assistant in West Bloomfield, MI.
Where does Dr. Shaletta Nuckolls practice?
Dr. Shaletta Nuckolls practices at 6777 W Maple RD, West Bloomfield, MI 483223013. Office phone: 2483251000.
What is Dr. Shaletta Nuckolls's NPI?
Dr. Shaletta Nuckolls's National Provider Identifier (NPI) is 1568083426, issued by NPPES.
Does Dr. Shaletta Nuckolls accept Medicare assignment?
Yes. Dr. Shaletta Nuckolls accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shaletta Nuckolls commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Emergency department visit with moderate level of medical decision making (HCPCS 99284). Source: CMS Medicare Physician & Other Practitioners file.