SHANE UDELHOVEN PA-C
NPI 1124355359
Physician Assistant - Medical in Soldotna, AK

Active since November 09, 2009PECOS EnrolledAccepts Medicare Assignment
35670 KENAI SPUR HWY STE 103A, SOLDOTNA, AK 99669(907) 260-1655(980) 495-8870 Get Directions Write a Review

NPPES record last updated: February 18, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane Udelhoven Pa-c NPPES

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

SHANE UDELHOVEN PA-C (NPI 1124355359) is an individual medical provider in Soldotna, Alaska, licensed in Alaska (PADA893) and active in the NPI registry since November 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1124355359
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSHANE UDELHOVENCredential: PA-C
Location Address35670 KENAI SPUR HWY STE 103ASoldotna, AK 99669-7649
Mailing Address48690 Tote RdSoldotna, AK 99669-9155
Fax(980) 495-8870
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 9, 2009
Last NPPES UpdateFebruary 18, 2020
NPI 1124355359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AK · PADA893
35670 KENAI SPUR HWY STE 103A, Soldotna, AK 99669

Other Identifiers 1

Medicaid1572984AK

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shane Udelhoven Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6608905930
PECOS Enrollment IDI20100525001036
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
124 services66 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
100 services50 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
43 services32 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Breast Cancer Screening
72%53 patients4/55-star benchmark: 93%
Cervical Cancer Screening
66%100 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
42%148 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
55%160 patients3/55-star benchmark: 88%
Diabetes: Eye Exam
6%33 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
24%33 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
85%854 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
39%314 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
20%570 patients2/55-star benchmark: 61%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 3

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

Radiologic Technologist (Sonography)
35670 KENAI SPUR HWY STE 103A
SOLDOTNA, AK 99669
Clinical Medical Laboratory
35670 KENAI SPUR HWY STE 103A
SOLDOTNA, AK 99669
Family Medicine
35670 KENAI SPUR HWY STE 103A
SOLDOTNA, AK 99669

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 Udelhoven's NPI number?

The NPI number for Shane Udelhoven is 1124355359. It was assigned to this individual provider in the NPPES registry on November 9, 2009.

Where is Shane Udelhoven located?

Shane Udelhoven practices at 35670 Kenai Spur Hwy Ste 103A, Soldotna, AK 99669. The listed phone number is (907) 260-1655.

What is Shane Udelhoven's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shane Udelhoven enrolled in Medicare?

Yes. Shane Udelhoven is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shane Udelhoven accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Shane Udelhoven 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 Shane Udelhoven was last updated on February 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.