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SHANE SUE WHITEHEAD
NPI 1073260600
Physician Assistant in Seattle, WA

Active since March 03, 2022PECOS Enrolled
5801 SAND POINT WAY NE, SEATTLE, WA 98105(206) 987-4585 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2023, Mar 3, 2022 (2 updates tracked since 2022).

About Shane Sue Whitehead NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE SUE WHITEHEAD (NPI 1073260600) is an individual physician assistant in Seattle, Washington, licensed in Washington (PA61450508) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073260600
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHANE SUE WHITEHEAD
Location Address5801 SAND POINT WAY NESeattle, WA 98105-2147
Mailing Address7015 25th Ave NeSeattle, WA 98115-5811 · (314) 435-5954
Phone(206) 987-4585
Sole ProprietorYes
Enumeration DateMarch 3, 2022
Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 5, 2023
✔ NPI 1073260600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA61450508
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5801 SAND POINT WAY NE, Seattle, WA 98105
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Sue Whitehead is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHELLE KUHN PHD
Psychologist (Clinical)
5801 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Whitehead's NPI number?

The NPI number for Shane Whitehead is 1073260600. It was assigned to this individual provider in the NPPES registry on March 3, 2022.

Where is Shane Whitehead located?

Shane Whitehead practices at 5801 Sand Point Way NE, Seattle, WA 98105. The listed phone number is (206) 987-4585.

What is Shane Whitehead's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shane Whitehead enrolled in Medicare?

Yes. Shane Whitehead is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shane Whitehead was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.