KATHY L. SHANNON (A.R.N.P.) – Nurse Practitioner, NPI 1689755811
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,261 NURSE PRACTITIONER in WA
Provider Addresses for KATHY L. SHANNON (A.R.N.P.)
118 E 8TH ST
PORT ANGELES, WA 983626129
Phone: (360) 457-0431
Fax: (360) 457-0493
Type: Mailing
590, Bogachiel Way, Forks, Clallam County, Washington, 98331, United States
FORKS, WA 983319120
Phone: (360) 374-6271
Fax: (360) 374-9781
Type: Mailing
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: 2004-10-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041008000818 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 85610 | Blood test, clotting time | 129 | 59 | $0 |
| 81003 | Automated urinalysis test | 38 | 30 | $0 |
| 81002 | Urinalysis, manual test | 16 | 16 | $0 |
Insurance plans in this area (ZIP 98362)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | WA | |
| Nurse Practitioner | WA | |
| Clinical Social Worker | WA | |
| Mental Health Counselor | WA | |
| Nurse Practitioner | WA | |
| Clinical Social Worker | WA | |
| Clinical Social Worker | WA | |
| Mental Health Counselor | NC | |
| Mental Health Counselor | WA | |
| Nurse Practitioner | WA |
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