MR. MICHAEL SEVERIN SHULTIS (PA-C) – Physician Assistant, NPI 1013154038
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MR. MICHAEL SEVERIN SHULTIS (PA-C)
111 S 11TH AVE STE 320
YAKIMA, WA 989023273
Phone: (509) 454-8888
Fax: (509) 453-0061
Type: Location
3911, Castlevale Road, Fruitvale, Yakima, Yakima County, Washington, 98902, United States
SUITE 301
YAKIMA, WA 989027807
Phone: (509) 834-7050
Fax: (509) 834-7051
Type: Mailing
PO BOX 2309
YAKIMA, WA 989072309
Phone: (509) 454-8888
Fax: (509) 453-0061
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 21 Open Payments records for all available years, with a total value of $411.
Total Amount is formed as General ($411) + Research ($0) + Ownership ($0) = $411.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Stryker Corporation ($373).
Total Amount
$411
General + Research + Ownership
Payments
21
Total payment records
General Amount
$411
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $373 |
| Heron Therapeutics, Inc. | $23 |
| Smith+Nephew, Inc. | $15 |
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: 2011-03-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110301000966 | I | Physician Assistant | WA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J7329 | Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg | 8,800 | 71 | $0 |
| J7325 | Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg | 1,152 | 15 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 856 | 138 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 455 | 290 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 452 | 156 | $0 |
Insurance plans in this area (ZIP 98902)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WA | 73562 | X-ray of knee, 3 views | 52 | 44 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WA | |
| Internal Medicine | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| - | WA | |
| Internal Medicine | WA | |
| Emergency Medicine | WA | |
| - | WA | |
| Family Practice | WA | |
| H E M A T O L O G Y/ O N C O L O G Y | WI |
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