ANDREW C SCHOCK (PA-C) – Physician Assistant, NPI 1720001092

ANDREW C SCHOCK (PA-C) is a healthcare provider. based in Ellensburg, Washington. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA10003463 (WA). The NPI Number for ANDREW C SCHOCK (PA-C) is 1720001092

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
ANDREW C SCHOCK (PA-C)
NPI
1720001092
Phone
(509) 925-6100
Address
700 E MANITOBA AVE
Enumeration Date
26 July 2006
Last Update Date
30 April 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
3870547235
Group Practice PAC ID
0547179608
Professional Enrollment ID
I20050315001153
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for ANDREW C SCHOCK (PA-C)

  • Kittitas Valley Healthcare Women's Health, 700, East Manitoba Avenue, Ellensburg, Kittitas County, Washington, 98926, United States

    SUITE 101

    ELLENSBURG, WA 989263885

    Phone: (509) 925-6100

    Fax: (509) 925-7604

    Mailing address matches the actual address.

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: 2005-03-15

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
I20050315001153IPhysician AssistantWATBD

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 98926)

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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: 0547179608View full group profile
NameSpecialtyState
Nurse PractitionerWA
Emergency MedicineWA
General SurgeryWA
Cardiac Electrophysiology, Internal MedicineMN
O T O L A R Y N G O L O G YWA
Family PracticeWA
Physician AssistantWA
Physician AssistantID
-WA
O B S T E T R I C S/ G Y N E C O L O G YWA

Reviews

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Frequently asked questions

What federal number belongs to ANDREW C SCHOCK (PA-C)?
The federal identifier for ANDREW C SCHOCK (PA-C) is NPI 1720001092.
Does this profile mean ANDREW C SCHOCK (PA-C) is currently active?
Yes — ANDREW C SCHOCK (PA-C) appears active in the national provider directory.
What field does ANDREW C SCHOCK (PA-C) work in?
You can think of ANDREW C SCHOCK (PA-C) as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for ANDREW C SCHOCK (PA-C)?
The page summarizes Ellensburg, Washington for ANDREW C SCHOCK (PA-C); expand the address list for detail.
Is ANDREW C SCHOCK (PA-C) a real provider?
This page reflects official NPPES data for NPI 1720001092. Always confirm identity and privileges with the practice and licensing boards.

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