DR. SHANNON DUFFY APRN
NPI 1215454574
Nurse Practitioner in Renton, WA

Active since August 28, 2017PECOS EnrolledAccepts Medicare Assignment
200 S 2ND ST, RENTON, WA 98057(425) 226-5536 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 27, 2024, Dec 7, 2020, Aug 28, 2017 (3 updates tracked since 2017).

About Dr. Shannon Duffy Aprn NPPES

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

DR. SHANNON DUFFY APRN (NPI 1215454574) is an individual nurse practitioner in Renton, Washington, licensed in Washington (AP60758522) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2017).

NPPES Registry Identity

NPI1215454574
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDR. SHANNON DUFFYCredential: APRN
Location Address200 S 2ND STRenton, WA 98057-2011
Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311 · Fax (425) 277-1566
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2017
Enumeration DateAugust 28, 2017
Last NPPES UpdateDecember 27, 20243 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1215454574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WA · AP60758522
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN60475453 (WA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP60758522 (WA)
200 S 2ND ST, Renton, WA 98057

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shannon Duffy Aprn 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 ID8325312853
PECOS Enrollment IDI20251011000067
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shannon Duffy reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Federally Qualified Health Center (FQHC)
200 S 2ND ST
Renton, WA 98055
  • Reassigned Medicare billing, Washington enrollment
  • 403 clinicians in this Medicare group
Public Health & General Preventive Medicine
2821 MISSION HILL RD
Tulalip, WA 98271
  • Reassigned Medicare billing, Texas enrollment
  • 46 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98057 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
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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 18

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

Counselor
200 S 2ND ST
RENTON, WA 98057
Neurological Surgery
200 S 2ND ST
RENTON, WA 98057
Pediatrics
200 S 2ND ST
RENTON, WA 98057
Family Medicine
200 S 2ND ST
RENTON, WA 98057
Dietitian, Registered
200 S 2ND ST
RENTON, WA 98057
Family Medicine
200 S 2ND ST
RENTON, WA 98057
Nurse Practitioner
200 S 2ND ST
RENTON, WA 98057
Family Medicine
200 S 2ND ST
RENTON, WA 98057

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 Duffy's NPI number?

The NPI number for Shannon Duffy is 1215454574. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Shannon Duffy located?

Shannon Duffy practices at 200 S 2nd St, Renton, WA 98057. The listed phone number is (425) 226-5536.

What is Shannon Duffy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Duffy enrolled in Medicare?

Yes. Shannon Duffy 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.

Which organizations bill Medicare for Shannon Duffy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Duffy reassigns Medicare benefits to 2 organizations: Healthpoint (Renton, WA) and Tulalip Tribes Of Washington (Tulalip, WA). Each 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 Duffy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Duffy accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shannon Duffy 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 Duffy was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.