SHAWN L SLACK (MD) – Rheumatology Physician, NPI 1306853239

SHAWN L SLACK (MD) is a healthcare provider. based in Everett, Washington. specializing in RHEUMATOLOGY. They hold the professional credentials MD. They hold a License No. MD00032937 (WA). The NPI Number for SHAWN L SLACK (MD) is 1306853239

Main info

Male
Sole Proprietor
34 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN L SLACK (MD)
NPI
1306853239
Phone
(425) 259-0966
Address
3901 HOYT AVE
Enumeration Date
2 August 2006
Last Update Date
18 November 2025

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
4254936000
Graduation Year
1992 (34 years ago)
PAC ID
1557255072
Group Practice PAC ID
6406752153
Professional Enrollment ID
I20100903000874
Address ID
WA982754700MU4410XSWXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

167 RHEUMATOLOGY in WA

Loading map...

Provider Addresses for SHAWN L SLACK (MD)

  • Founders Bldg., 3901, Hoyt Avenue, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982014918

    Phone: (425) 259-0966

    Type: Location

  • Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States

    EVERETT, WA 982065127

    Phone: (206) 860-5414

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2010-09-03

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
I20100903000874IRheumatologyWATBD

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
80053Blood test, comprehensive group of blood chemicals426141$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count415140$0
86140Measurement c-reactive protein for detection of infection or inflammation402133$0
36415Insertion of needle into vein for collection of blood sample351139$0
99214Established patient office or other outpatient visit, 30-39 minutes347150$0
View full utilization report →

Insurance plans in this area (ZIP 98201)

Loading plans...

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: 6406752153View full group profile
NameSpecialtyState
-OR
-WA
-WA
P A T H O L O G YTN
Nurse PractitionerWA
Diagnostic RadiologyWA
Nurse PractitionerWA
Physical Therapist In Private PracticeWA
O T O L A R Y N G O L O G YWA
Emergency MedicineOR

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference SHAWN L SLACK (MD)?
For SHAWN L SLACK (MD), use NPI 1306853239 as the unique 10-digit identifier.
Active or inactive — what applies to SHAWN L SLACK (MD)?
You should see SHAWN L SLACK (MD) as active in CMS-hosted NPPES data.
What expertise is attributed to SHAWN L SLACK (MD)?
SHAWN L SLACK (MD)'s specialty line reads Rheumatology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SHAWN L SLACK (MD)?
Directory geography for SHAWN L SLACK (MD) centers on Everett, Washington.
When was this NPI issued?
Enumeration for SHAWN L SLACK (MD) is noted as August 2, 2006 where the registry provides it.

Similar Providers

LOUIE E TSIKTSIRIS (MD)

Rheumatology Physician
Founders Bldg., 3901, Hoyt Avenue, Everett, Snohomish County, Washington, 98201, United States
NPI: 1720086168
West Marine View Drive, Northwest Everett, Everett, Snohomish County, Washington, 98201, United States
NPI: 1023065919

ANDREW S SOHN (MD)

Rheumatology Physician
84225 HOYT AVE
NPI: 1215977897

KARIN SCHMITT (MD)

Rheumatology Physician
3218, Nassau Street, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
NPI: 1972520872

KENT WILLIAM BLAKELY (MD)

Rheumatology Physician
1728 W MARINE VIEW DR STE 110
NPI: 1134222458

THUC NGUYEN (MD)

Rheumatology Physician
Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
NPI: 1902901309

SHAILA GALA (MD)

Rheumatology Physician
Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
NPI: 1447355813

CATHY FRITCHEN (MD)

Rheumatology Physician
Everett Post Office, 3102, Hoyt Avenue, Port Gardner, Everett, Snohomish County, Washington, 98201, United States
NPI: 1043315534

JONATHAN WITTE (MD)

Rheumatology Physician
Founders Bldg., 3901, Hoyt Avenue, Everett, Snohomish County, Washington, 98201, United States
NPI: 1386740355