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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LAUREN SHADE
NPI 1134809155
Nurse Practitioner - Pediatrics in Mill Creek, WA

Active since July 24, 2023PECOS Enrolled
805 164TH ST SE STE 100, MILL CREEK, WA 98012(425) 354-4296(425) 332-3495 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 28, 2026, May 1, 2024, Jul 24, 2023 (3 updates tracked since 2023).

About Lauren Shade NPPES

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

LAUREN SHADE (NPI 1134809155) is an individual pediatrics provider in Mill Creek, Washington, licensed in Washington (AP61553983) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134809155
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLAUREN SHADE
Location Address805 164TH ST SE STE 100Mill Creek, WA 98012-6316
Mailing Address805 164th St Se Ste 100Mill Creek, WA 98012-6316 · (425) 354-4296 · Fax (425) 332-3495
Phone(425) 354-4296
Fax(425) 332-3495
Sole ProprietorYes
Enumeration DateJuly 24, 2023
Last NPPES UpdateOctober 28, 20263 updates tracked since enumeration
NPPES CertifiedOctober 28, 2026
✔ NPI 1134809155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WA · AP61553983
Also ListedRegistered NurseTaxonomy 163W00000X · License RN60918239 (WA)
805 164TH ST SE STE 100, Mill Creek, WA 98012
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Shade 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 98012 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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 6

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

CROSSFUNCTION SPORTS RECOVERY, PLLC
Clinic/Center
805 164TH ST SE STE 100
MILL CREEK, WA 98012
Snohomish County (425) 595-3436
ALLYSON HANA MEI-YAN KOH MD
Pediatrics
805 164TH ST SE STE 100
MILL CREEK, WA 98012
Snohomish County (425) 354-4296
SARAH TERESITA VEGA MD
Pediatrics
805 164TH ST SE STE 100
MILL CREEK, WA 98012
Snohomish County (425) 354-4296
JENNY LYNN MAPES L.M.T.
Massage Therapist
805 164TH ST SE STE 100
MILL CREEK, WA 98012
Snohomish County (452) 595-3436
CROSSFUNCTION SPORTS MASSAGE, PLLC
Massage Therapist
805 164TH ST SE STE 100
MILL CREEK, WA 98012
Snohomish County (425) 418-8588
FREDRICK MORTIMORE LMT
Massage Therapist
805 164TH ST SE STE 100
MILL CREEK, WA 98012
Snohomish County (425) 595-3436

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 Lauren Shade's NPI number?

The NPI number for Lauren Shade is 1134809155. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Lauren Shade located?

Lauren Shade practices at 805 164th St SE Ste 100, Mill Creek, WA 98012. The listed phone number is (425) 354-4296.

What is Lauren Shade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Lauren Shade enrolled in Medicare?

Yes. Lauren Shade is registered in the Medicare PECOS enrollment system.

What insurance does Lauren Shade accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Lauren Shade 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 Lauren Shade was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.