SHANNON D TUMBLIN (ARNP) – Family Nurse Practitioner, NPI 1376166884

SHANNON D TUMBLIN (ARNP) is a healthcare provider. based in Coupeville, Washington. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. AP61073447 (WA). The NPI Number for SHANNON D TUMBLIN (ARNP) is 1376166884

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON D TUMBLIN (ARNP)
NPI
1376166884
Phone
(360) 678-1515
Address
5 NE 4TH ST STE A
Enumeration Date
19 May 2020
Last Update Date
18 December 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3606781515
Graduation Year
2020 (6 years ago)
PAC ID
7113344672
Professional Enrollment ID
I20200828001308
Address ID
WA982393103CO30XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

6,261 NURSE PRACTITIONER in WA

Provider Addresses for SHANNON D TUMBLIN (ARNP)

  • 5 NE 4TH ST STE A

    COUPEVILLE, WA 982393630

    Phone: (360) 678-1515

    Fax: (360) 678-5037

    Type: Location

  • 30 NW BIRCH ST

    COUPEVILLE, WA 982393103

    Phone: (360) 678-1515

    Fax: (360) 678-5037

    Type: Location

  • 136 JACOBS RD

    COUPEVILLE, WA 982399552

    Phone: (360) 914-0473

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $473.

Total Amount is formed as General ($473) + Research ($0) + Ownership ($0) = $473.

Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($193).

Total Amount

$473

General + Research + Ownership

Payments

15

Total payment records

General Amount

$473

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-08-28

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
I20200828001308INurse PractitionerWATBD

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
17003Destruction of precancer skin growth, 2-14 growths1,375221$0
17000Destruction of precancer skin growth, 1 growth443299$0
99214Established patient office or other outpatient visit, 30-39 minutes373219$0
17110Destruction of skin growth, 1-14 growths246182$0
11102Biopsy of related skin growth, first growth235198$0
View full utilization report →

Insurance plans in this area (ZIP 98239)

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Reviews

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Frequently asked questions

Does SHANNON D TUMBLIN (ARNP) have a public NPI I can cite?
Public records show SHANNON D TUMBLIN (ARNP) under NPI 1376166884.
Is SHANNON D TUMBLIN (ARNP) currently accepting referrals based on NPI status?
Registry metadata lists SHANNON D TUMBLIN (ARNP) as active.
What services align with SHANNON D TUMBLIN (ARNP)'s listing?
SHANNON D TUMBLIN (ARNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SHANNON D TUMBLIN (ARNP) tied to Coupeville, Washington?
If you are local to Coupeville, Washington, SHANNON D TUMBLIN (ARNP) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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