JULIA KATHALEEN SHANKLE (PA-C) – Medical Physician Assistant, NPI 1609581693

JULIA KATHALEEN SHANKLE (PA-C) is a healthcare provider. based in Astoria, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA214874 (OR). The NPI Number for JULIA KATHALEEN SHANKLE (PA-C) is 1609581693

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
JULIA KATHALEEN SHANKLE (PA-C)
NPI
1609581693
Phone
(407) 415-6986
Address
2120 EXCHANGE ST STE 111
Enumeration Date
16 January 2023
Last Update Date
10 March 2023

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
9717624611
Graduation Year
2022 (4 years ago)
PAC ID
9133586191
Group Practice PAC ID
1355406729
Professional Enrollment ID
I20230606002958
Address ID
OR971162132FO3675XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for JULIA KATHALEEN SHANKLE (PA-C)

  • 2120 EXCHANGE ST STE 111

    ASTORIA, OR 971033366

    Phone: (407) 415-6986

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230606002958IPhysician AssistantORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81002Urinalysis, manual test1514$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1111$0
View full utilization report →

Insurance plans in this area (ZIP 97103)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1355406729View full group profile

Reviews

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Frequently asked questions

What identifier follows JULIA KATHALEEN SHANKLE (PA-C) across health systems?
The NPI 1609581693 uniquely identifies JULIA KATHALEEN SHANKLE (PA-C) in U.S. healthcare data.
Is JULIA KATHALEEN SHANKLE (PA-C) currently accepting referrals based on NPI status?
Registry metadata lists JULIA KATHALEEN SHANKLE (PA-C) as active.
Which specialty label fits JULIA KATHALEEN SHANKLE (PA-C)?
NPPES ties JULIA KATHALEEN SHANKLE (PA-C) to Medical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is JULIA KATHALEEN SHANKLE (PA-C) tied to Astoria, Oregon?
If you are local to Astoria, Oregon, JULIA KATHALEEN SHANKLE (PA-C) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.