CAROLYN JEAN SHOEMAKER (PA-C) – Physician Assistant, NPI 1477856649
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for CAROLYN JEAN SHOEMAKER (PA-C)
1433 5TH ST
CLARKSTON, WA 994032714
Phone: (509) 758-5141
Fax: (509) 758-5299
Type: Mailing
412 S. Main St.
Troy, ID 83871
Phone: (208) 835-5550
Type: Location
719 S Main St
Moscow, ID 838433041
Phone: (208) 883-1152
Type: Location
PO BOX 8007
MOSCOW, ID 838430507
Phone: (208) 882-4511
Type: Mailing
719 S MAIN ST
MOSCOW, ID 838433041
Phone: (208) 883-1152
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: 2025-03-19
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 |
|---|---|---|---|---|
| I20110201000677 | I | Physician Assistant | ID | TBD |
| I20250319003093 | I | Physician Assistant | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 189 | 112 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 163 | 102 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 91 | 67 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 39 | 36 | $0 |
| 81002 | Urinalysis, manual test | 26 | 23 | $0 |
Insurance plans in this area (ZIP 99403)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | IN | |
| Physician Assistant | WA | |
| - | ID | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Family Practice | ID | |
| Family Practice | ID | |
| Family Practice | WA | |
| Physician Assistant | ID |
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