DR. SHELLY FAY HAFERKAMP (DO) – Psychiatry Physician, NPI 1417418443

DR. SHELLY FAY HAFERKAMP (DO) is a healthcare provider. based in Liberty lake, Washington. specializing in PSYCHIATRY. They hold the professional credentials DO. They hold a License No. OP61260811 (WA). The NPI Number for DR. SHELLY FAY HAFERKAMP (DO) is 1417418443

Main info

Female
7 Years Of Experience
Name
DR. SHELLY FAY HAFERKAMP (DO)
NPI
1417418443
Phone
(866) 747-2455
Address
PO BOX 421
Enumeration Date
31 March 2019
Last Update Date
11 September 2025

Doctor Profile

Medical School Name
ALABAMA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
8224413745
Professional Enrollment ID
I20251001002347
Address ID
WA992233816SP3620XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

2,132 PSYCHIATRY in TX

Provider Addresses for DR. SHELLY FAY HAFERKAMP (DO)

  • PO BOX 421

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Type: Mailing

  • 6515 KEMP BLVD

    WICHITA FALLS, TX 763085419

    Phone: (940) 692-1220

    Type: Location

  • CHRISTUS Spohn Hospital Corpus Christi - Shoreline, 600, Elizabeth Street, Corpus Christi, Nueces County, Texas, 78404, United States

    CORPUS CHRISTI, TX 784042235

    Phone: (361) 861-1864

    Type: Mailing

  • 165 E Hawthorne Ave

    Colville, WA 991142629

    Phone: (509) 684-4597

    Type: Location

  • 1050 N Argonne Rd Ste 100

    Spokane Valley, WA 992126011

    Phone: (509) 209-8990

    Type: Location

  • 4168 County Road 444

    Waelder, TX 789595328

    Phone: (844) 611-5705

    Type: Location

  • 107 S DIVISION ST

    SPOKANE, WA 992021510

    Phone: (713) 870-9236

    Type: Mailing

  • 131 S DIVISION ST

    SPOKANE, WA 992021510

    Phone: (509) 838-4651

    Type: Location

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: 2022-09-20

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
I20220920002728IPsychiatryWATBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes10044$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. SHELLY FAY HAFERKAMP (DO)?
DR. SHELLY FAY HAFERKAMP (DO) — NPI 1417418443 — is the standard way to identify this listing.
Is DR. SHELLY FAY HAFERKAMP (DO) listed as active for patients and plans?
The listing shows DR. SHELLY FAY HAFERKAMP (DO) as active in the NPI system.
What healthcare role does DR. SHELLY FAY HAFERKAMP (DO) hold?
Scheduling teams often label DR. SHELLY FAY HAFERKAMP (DO) under Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where should I expect DR. SHELLY FAY HAFERKAMP (DO) on a map?
Expect Liberty Lake, Washington as a primary anchor for DR. SHELLY FAY HAFERKAMP (DO) unless the record lists multiple sites.
Is the information about DR. SHELLY FAY HAFERKAMP (DO) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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