DR. SHANNON KAUFMAN D.C.
NPI 1104280650
Chiropractor in Seattle, WA
About Dr. Shannon Kaufman D.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON KAUFMAN D.C. (NPI 1104280650) is an individual chiropractor in Seattle, Washington, licensed in Washington (CH60631494) and active in the NPI registry since April 2016.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shannon Kaufman D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shannon Kaufman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Renton, WA 98059
- Reassigned Medicare billing, Washington enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98109
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 Shannon Kaufman's NPI number?
The NPI number for Shannon Kaufman is 1104280650. It was assigned to this individual provider in the NPPES registry on April 11, 2016.
Where is Shannon Kaufman located?
Shannon Kaufman practices at 557 Roy St Suite 100, Seattle, WA 98109. The listed phone number is (206) 285-1068.
What is Shannon Kaufman's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Shannon Kaufman enrolled in Medicare?
Yes. Shannon Kaufman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shannon Kaufman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Kaufman reassigns Medicare benefits to Corbin Chiropractic Clinic PLLC (Renton, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Kaufman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Kaufman accept?
Health plans from Ambetter Health and Premera Blue Cross Blue Shield of Alaska list Shannon Kaufman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shannon Kaufman was last updated on April 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Dr. Shannon Kaufman, D.C. · NPI 1104280650
Chiropractor provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since April 11, 2016.
## Identity
- **NPI:** 1104280650 (Entity type: Individual)
- **Enumerated:** April 11, 2016
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** CH60631494 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 557 ROY ST, SUITE 100, Seattle, WA 98109-4219
- **Phone:** (206) 285-1068
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Corbin Chiropractic Clinic PLLC (NPI 1598897050, Renton, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 12, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1104280650) · Data from the CMS NPPES public registry.