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SHONALI RAYNEEKA PRASAD
NPI 1336961424
Student in an Organized Health Care Education/Training Program in Renton, WA

Active since October 29, 2024PECOS EnrolledAccepts Medicare Assignment
3901 NE 4TH ST STE 105, RENTON, WA 98056(425) 690-3410(425) 690-9410 Get Directions Write a Review

NPPES record last updated: May 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shonali Rayneeka Prasad NPPES

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

SHONALI RAYNEEKA PRASAD (NPI 1336961424) is an individual student in an organized health care education/training program in Renton, Washington and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS, is affiliated with Valley Medical Center, and maintains a secondary practice location in Gig Harbor.

NPPES Registry Identity

NPI1336961424
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHONALI RAYNEEKA PRASAD
Location Address3901 NE 4TH ST STE 105Renton, WA 98056-4100
Mailing Address3901 Ne 4th St Ste 105Renton, WA 98056-4100 · (425) 690-3410 · Fax (425) 690-9410
Phone(425) 690-3410
Fax(425) 690-9410
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 29, 2024
Last NPPES UpdateMay 10, 2026
NPPES CertifiedMay 10, 2026
✔ NPI 1336961424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP70094616 (WA)
3901 NE 4TH ST STE 105, Renton, WA 98056
Open in Google Maps ↗

Secondary Practice Location 1

Location 14700 Point Fosdick Dr Ste 102Gig Harbor, WA 98335-1706 · Phone (253) 853-2050

Other Identifiers 1

Medicaid20175152WA

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 and accepts Medicare assignment

Shonali Rayneeka Prasad 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 ID5597232710
PECOS Enrollment IDI20260424002347
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 Shonali Prasad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valley Medical Group-Renton
3.9 mi
General Acute Care Hospital
400 S 43RD ST
Renton, WA 98055
  • Reassigned Medicare billing, Washington enrollment
  • 689 clinicians in this Medicare group
NPI 1619209574 (425) 228-3440

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Valley Medical Center

Acute Care Hospitals · Renton, WA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500088
Location400 S 43rd StRenton, WA 98055 · King County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 7

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

ANNA ELEANOR GOEBEL MD
Family Medicine
3901 NE 4TH ST STE 105
RENTON, WA 98056
King County (425) 690-3410
MARIEL BROWNFIELD SCHEINBERG DO
Family Medicine
3901 NE 4TH ST STE 105
RENTON, WA 98056
King County (425) 690-3410
SAMANTHA AUXILIO VIRAMONTES MD
Family Medicine
3901 NE 4TH ST STE 105
RENTON, WA 98056
King County (425) 690-3410
ROBERT E MOLINA MD
Family Medicine
3901 NE 4TH ST STE 105
RENTON, WA 98056
King County (425) 690-3410
DR. ANGELA I LAWTON
Family Medicine
3901 NE 4TH ST STE 105
RENTON, WA 98056
King County (425) 690-3410
ASHLEY ANN LEE ARNP
Nurse Practitioner
3901 NE 4TH ST STE 105
RENTON, WA 98056
King County (425) 690-3410
MS. ALEXIS A METTLER MS, RD
Dietitian, Registered
3901 NE 4TH ST STE 105
RENTON, WA 98056
King County (425) 656-5377

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 Shonali Prasad's NPI number?

The NPI number for Shonali Prasad is 1336961424. It was assigned to this individual provider in the NPPES registry on October 29, 2024.

Where is Shonali Prasad located?

Shonali Prasad practices at 3901 NE 4th St Ste 105, Renton, WA 98056. The listed phone number is (425) 690-3410.

What is Shonali Prasad's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shonali Prasad enrolled in Medicare?

Yes. Shonali Prasad 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 organization bills Medicare for Shonali Prasad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shonali Prasad reassigns Medicare benefits to Valley Medical Group-Renton (Renton, WA). The 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 Shonali Prasad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shonali Prasad accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shonali Prasad 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.

Is Shonali Prasad affiliated with any hospitals?

According to CMS data, Shonali Prasad is affiliated with Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Shonali Prasad was last updated on May 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.