SHANA COLT – Physician Assistant, NPI 1760804785

SHANA COLT is a healthcare provider. based in Liberty lake, Washington. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA60596888 (WA). The NPI Number for SHANA COLT is 1760804785

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
SHANA COLT
NPI
1760804785
Phone
(866) 747-2455
Address
PO BOX 421
Enumeration Date
9 January 2014
Last Update Date
12 October 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5098381010
Graduation Year
2015 (11 years ago)
PAC ID
8921315011
Group Practice PAC ID
8022105329
Professional Enrollment ID
I20150922003118
Address ID
WA992021316SP530XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for SHANA COLT

  • PO BOX 421

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Type: Mailing

  • 105 W 8TH AVE

    SUITE 200

    SPOKANE, WA 992042302

    Phone: (509) 624-9112

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $106.

Total Amount is formed as General ($106) + Research ($0) + Ownership ($0) = $106.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: ABBVIE INC. ($106).

Total Amount

$106

General + Research + Ownership

Payments

1

Total payment records

General Amount

$106

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$106
View all Open Payments →|Open Payments Risk Radar →

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: 2015-09-22

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
I20150922003118IPhysician 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 99019)

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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: 8022105329View full group profile
NameSpecialtyState
Physician AssistantWA
Plastic And Reconstructive SurgeryUT
-WA
Plastic And Reconstructive SurgeryWA
Hand Surgery, Plastic And Reconstructive SurgeryWA
Physician AssistantWA
Physician AssistantWA
Plastic And Reconstructive SurgeryWA
Plastic And Reconstructive SurgeryWA

Reviews

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Frequently asked questions

How do I look up SHANA COLT by NPI?
Use NPI 1760804785 when you need to reference SHANA COLT in forms, claims, or directories.
Is SHANA COLT's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does SHANA COLT list a primary specialty?
If you are matching referrals, note Physician Assistant for SHANA COLT. Clinical services aligned with this taxonomy classification.
What location metadata exists for SHANA COLT?
The page summarizes Liberty Lake, Washington for SHANA COLT; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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