SHANNON PENDLETON N.P.
NPI 1265866313
Nurse Practitioner - Family in Enumclaw, WA

Q: What is Shannon Pendleton's NPI number?

The NPI number for Shannon Pendleton is 1265866313. It was assigned to this individual provider in the NPPES registry on August 26, 2013.

Q: What is Shannon Pendleton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Pendleton was last updated on November 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since August 26, 2013PECOS Enrolled

3021 GRIFFIN AVE, ENUMCLAW, WA 98022(360) 825-6511(360) 825-6536 Get Directions Write a Review

NPPES record last updated: November 24, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Shannon Pendleton N.p. NPPES

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

SHANNON PENDLETON N.P. (NPI 1265866313) is an individual family provider in Enumclaw, Washington, licensed in Washington (AP 60565012) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265866313

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON PENDLETONCredential: N.P.

Location Address3021 GRIFFIN AVEEnumclaw, WA 98022-2369

Mailing Address3021 Griffin AveEnumclaw, WA 98022-2369 · (360) 825-6511 · Fax (360) 825-6536

Phone(360) 825-6511

Fax(360) 825-6536

Sole ProprietorNo

Enumeration DateAugust 26, 2013

Last NPPES UpdateNovember 24, 2015

✔ NPI 1265866313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in WA · AP 60565012✔ Licensed in HI · APRN-1615

3021 GRIFFIN AVE, Enumclaw, WA 98022

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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Pendleton N.p. 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.

Medicare Billing Reassignment

Medicare enrollment records show Shannon Pendleton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seattle Children's Hospital

26 mi

Primary Care

3939 S OTHELLO ST STE 101
Seattle, WA 98118

Reassigned Medicare billing, Washington enrollment
Medicare enrollment name: Seattle Childrens Hospital
912 clinicians in this Medicare group

NPI 1134251747 (206) 987-7200

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 98022 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers13 claims13 services$48.12 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers24 claims24 services$27.62 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier13 claims13 services$171.18 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

KASHISH GOYAL

Family Medicine