SHANE FOREE SPEARS (PA-C, CCP) – Surgical Physician Assistant, NPI 1336119916
Surgical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for SHANE FOREE SPEARS (PA-C, CCP)
1802 YAKIMA AVE STE 102
TACOMA, WA 984055303
Phone: (253) 272-7777
Fax: (360) 874-5959
Type: Mailing
Bellingham Post Office, Rolling Hills Drive, Bellingham, Norfolk County, Massachusetts, 02019, United States
BELLINGHAM, WA 982275096
Phone: (360) 788-6063
Fax: (360) 788-6817
Type: Mailing
2950, Squalicum Parkway, Parkview, Cornwall Park, Bellingham, Whatcom County, Washington, 98225, United States
BELLINGHAM, WA 982251857
Phone: (360) 788-6063
Fax: (360) 788-6817
Type: Location
1000 S BECKHAM AVE
TYLER, TX 757011908
Phone: (903) 590-5611
Type: Mailing
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: 2023-04-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20071016000121 | I | Physician Assistant | WA | TBD |
| I20230412001513 | I | Physician Assistant | TX | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98405)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | SC | |
| Physician Assistant | WA | |
| - | WA | |
| General Surgery | MI | |
| - | WA | |
| Nurse Practitioner | WA | |
| - | WI | |
| - | WA | |
| - | WA | |
| Family Practice | WA |
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