DR. SHANNON L. SERVIN-OBERT D.O.
NPI 1285861989
Family Medicine in Port Townsend, WA
About Dr. Shannon L. Servin-obert D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANNON L. SERVIN-OBERT D.O. (NPI 1285861989) is an individual family medicine provider in Port Townsend, Washington, licensed in Oregon (DO176333) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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 L. Servin-obert D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
7Medicare enrollment records show Shannon Servin-obert reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Townsend, WA 98368
- Reassigned Medicare billing, Washington enrollment
- 208 clinicians in this Medicare group
Cle Elum, WA 98922
- Reassigned Medicare billing, Washington enrollment
- 163 clinicians in this Medicare group
South Bend, WA 98586
- Reassigned Medicare billing, Washington enrollment
- 104 clinicians in this Medicare group
Yakima, WA 98902
- Reassigned Medicare billing, Washington enrollment
- 60 clinicians in this Medicare group
Toppenish, WA 98948
- Reassigned Medicare billing, Washington enrollment
- 55 clinicians in this Medicare group
Portland, OR 97216
- Reassigned Medicare billing, Oregon enrollment
- 167 clinicians in this Medicare group
Sunnyside, WA 98944
- Reassigned Medicare billing, Washington enrollment
- 64 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98368 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Servin-obert's NPI number?
The NPI number for Shannon Servin-obert is 1285861989. It was assigned to this individual provider in the NPPES registry on June 19, 2009.
Where is Shannon Servin-obert located?
Shannon Servin-obert practices at 834 Sheridan St, Port Townsend, WA 98368. The listed phone number is (360) 385-2200.
What is Shannon Servin-obert's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shannon Servin-obert enrolled in Medicare?
Yes. Shannon Servin-obert is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Shannon Servin-obert's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Servin-obert reassigns Medicare benefits to 7 organizations: Jefferson County Public Hospital District No 2 (Port Townsend, WA), Kittitas County Public Hospital Dist 1 (Cle Elum, WA), Pacific County Hospital District 2 (South Bend, WA), Washington Emergency Physician Partners PLLC (Yakima, WA), Olney Emergency Group, A Professional LLC (Toppenish, WA) and 2 more organizations, listed in the Medicare section above. 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 Servin-obert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Servin-obert accept?
Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Shannon Servin-obert 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 Servin-obert was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 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.
# Dr. Shannon L. Servin-Obert, D.O. · NPI 1285861989
Family Medicine physician in Port Townsend, Washington. Individual provider, active in the CMS NPPES registry since June 19, 2009.
## Identity
- **NPI:** 1285861989 (Entity type: Individual)
- **Enumerated:** June 19, 2009
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DO176333 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 834 SHERIDAN ST, Port Townsend, WA 98368-2443
- **Phone:** (360) 385-2200 · **Fax:** (360) 344-1019
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Jefferson County Public Hospital District No 2 (NPI 1356492953, Port Townsend, WA); Kittitas County Public Hospital Dist 1 (NPI 1194747774, Cle Elum, WA); Pacific County Hospital District 2 (NPI 1295708683, South Bend, WA); Washington Emergency Physician Partners PLLC (NPI 1518203520, Yakima, WA); Olney Emergency Group, A Professional LLC (NPI 1386108868, Toppenish, WA); and 2 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1285861989) · Data from the CMS NPPES public registry.