DR. MARY RACHAEL SHANNON (AU.D., CCC-A) – Audiologist, NPI 1467799189

DR. MARY RACHAEL SHANNON (AU.D., CCC-A) is a healthcare provider. based in Bremerton, Washington. specializing in QUALIFIED AUDIOLOGIST. They hold the professional credentials AU.D., CCC-A. They hold a License No. LD00001070 (WA). The NPI Number for DR. MARY RACHAEL SHANNON (AU.D., CCC-A) is 1467799189

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY RACHAEL SHANNON (AU.D., CCC-A)
NPI
1467799189
Phone
(360) 373-1250
Address
2601 Cherry Ave Ste 206
Enumeration Date
15 January 2013
Last Update Date
6 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2535148224
Graduation Year
2018 (8 years ago)
PAC ID
8729201900
Group Practice PAC ID
1254681802
Professional Enrollment ID
I20140515000239
Address ID
WA983352212GI5775XDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

273 QUALIFIED AUDIOLOGIST in WA

Provider Addresses for DR. MARY RACHAEL SHANNON (AU.D., CCC-A)

  • 2601 Cherry Ave Ste 206

    Bremerton, WA 983104208

    Phone: (360) 373-1250

    Fax: (360) 373-0834

    Type: Location

  • 9730 3rd Ave NE Ste 201

    Seattle, WA 981152023

    Phone: (206) 367-1345

    Fax: (206) 367-1366

    Type: Location

  • 2601 CHERRY AVE STE 206

    BREMERTON, WA 983104208

    Phone: (360) 373-1250

    Fax: (360) 373-0834

    Type: Mailing

  • 9730 3RD AVE NE STE 201

    SEATTLE, WA 981152023

    Phone: (206) 367-1345

    Fax: (206) 367-1366

    Type: Mailing

  • 5775 SOUNDVIEW DR STE C204

    GIG HARBOR, WA 983352212

    Phone: (253) 514-8224

    Fax: (253) 514-8273

    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: 2014-05-15

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
I20140515000239IQualified AudiologistWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98310)

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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: 1254681802View full group profile
NameSpecialtyState
Qualified AudiologistWA
Qualified AudiologistWA
Qualified AudiologistWA
Qualified AudiologistNC
Qualified AudiologistCA
Qualified AudiologistWA
Qualified AudiologistWA

Reviews

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Frequently asked questions

Is there an official ID for DR. MARY RACHAEL SHANNON (AU.D., CCC-A) in U.S. healthcare records?
The official identifier for DR. MARY RACHAEL SHANNON (AU.D., CCC-A) is NPI 1467799189.
Active or inactive — what applies to DR. MARY RACHAEL SHANNON (AU.D., CCC-A)?
You should see DR. MARY RACHAEL SHANNON (AU.D., CCC-A) as active in CMS-hosted NPPES data.
What kind of doctor is DR. MARY RACHAEL SHANNON (AU.D., CCC-A)?
DR. MARY RACHAEL SHANNON (AU.D., CCC-A) is associated with Audiologist in the directory — Clinical services aligned with this taxonomy classification.
Is DR. MARY RACHAEL SHANNON (AU.D., CCC-A) associated with Bremerton?
Public fields place DR. MARY RACHAEL SHANNON (AU.D., CCC-A) around Bremerton, Washington. Always confirm the exact site before visiting.
Does DR. MARY RACHAEL SHANNON (AU.D., CCC-A) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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