SHANNON URSULA WATERMAN (MD) – General Practice Physician, NPI 1649279860

SHANNON URSULA WATERMAN (MD) is a healthcare provider. based in Tacoma, Washington. specializing in General Practice Physician. They hold the professional credentials MD. They hold a License No. 025209MD00041909 (WA). The NPI Number for SHANNON URSULA WATERMAN (MD) is 1649279860

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
SHANNON URSULA WATERMAN (MD)
NPI
1649279860
Phone
(253) 722-1540
Address
101 E 26TH STREET
Enumeration Date
19 July 2005
Last Update Date
5 August 2009

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
8820082654
Group Practice PAC ID
0244138196
Professional Enrollment ID
I20080314000256
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for SHANNON URSULA WATERMAN (MD)

  • 101, East 26th Street, Tacoma, Pierce County, Washington, 98421, United States

    TACOMA, WA 98421

    Phone: (253) 722-1540

    Fax: (253) 722-1546

    Type: Mailing

  • Pacific Avenue, Tacoma, Pierce County, Washington, 98418-7826, United States

    PARKLAND CLINIC COMMUNITY HEALTHCARE

    TACOMA, WA 98444

    Phone: (253) 536-2020

    Fax: (253) 536-5327

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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
99214Established patient office or other outpatient visit, 30-39 minutes10555$0
99204New patient office or other outpatient visit, 45-59 minutes2727$0
99213Established patient office or other outpatient visit, 20-29 minutes2726$0
View full utilization report →

Insurance plans in this area (ZIP 98421)

Loading plans...

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: 0244138196View full group profile
NameSpecialtyState
-WA
General SurgeryWA
Orthopedic SurgeryWA
P S Y C H I A T R YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineWA
Hospitalist, Hospice/Palliative CareWA
Physician AssistantWA
N E U R O L O G YWA
N E U R O L O G YWA
Hospitalist, Hospice/Palliative Care, Internal MedicineND

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm SHANNON URSULA WATERMAN (MD)'s NPI?
Yes. SHANNON URSULA WATERMAN (MD) is listed with NPI 1649279860 in the public NPI dataset.
Is SHANNON URSULA WATERMAN (MD) listed as active for patients and plans?
The listing shows SHANNON URSULA WATERMAN (MD) as active in the NPI system.
What is SHANNON URSULA WATERMAN (MD)'s primary classification?
General Practice Physician is the headline specialty for SHANNON URSULA WATERMAN (MD) here. Clinical services aligned with this taxonomy classification.
Where is SHANNON URSULA WATERMAN (MD) based?
SHANNON URSULA WATERMAN (MD) is tied to Tacoma, Washington in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

Similar Providers

THU VAN LE (MD)

General Practice Physician
1212, South 11th Street, G Street Neighborhood, Tacoma, Pierce County, Washington, 98405, United States
NPI: 1295716884

MR. JOHN HEBER BODEN (M.D.)

Pediatric Ophthalmology and Strabismus Specialist Physician
9040 Jackson Ave
NPI: 1114997418

DESISLAVA ZLATANOVA HITE (M.D.)

General Practice Physician
South Tacoma Post Office, South 56th Street, South Tacoma, Tacoma, Pierce County, Washington, 98409, United States
NPI: 1003888256

DR. CAROL A MOORES (M.D.)

Family Medicine Physician
1924, 15th Avenue Northeast, Ashland Park, Issaquah Highlands, Issaquah, King County, Washington, 98029, United States
NPI: 1245202548

DR. GREGORY MICHAEL JOHNSTON (M.D.)

General Practice Physician
1412, Kittson Street, DuPont, Pierce County, Washington, 98327, United States
NPI: 1043282023
MADIGAN ARMY MEDICAL CTR 9040 JACKSON AVE
NPI: 1952374258

DR. JASON ALEXANDER GRASSBAUGH (MD)

Orthopaedic Surgery Physician
MAMC DEPT ORTHOPEDICS
NPI: 1184697211