SHANNON MARIE PEERBOOM ARNP
NPI 1356957294
Nurse Practitioner in Puyallup, WA

Q: What is Shannon Peerboom's NPI number?

The NPI number for Shannon Peerboom is 1356957294. It was assigned to this individual provider in the NPPES registry on September 16, 2020. The provider is also known as Shannon Marie Durham.

Q: What is Shannon Peerboom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Peerboom was last updated on September 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 September 16, 2020PECOS Enrolled

43.29/100

CMS Quality Rating

3908 10TH ST SE, PUYALLUP, WA 98374(253) 845-7073 Get Directions Write a Review

NPPES record last updated: September 16, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Shannon Marie Peerboom Arnp NPPES

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

SHANNON MARIE PEERBOOM ARNP (NPI 1356957294) is an individual nurse practitioner in Puyallup, Washington, licensed in Washington (AP61092015) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356957294

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSHANNON MARIE PEERBOOMCredential: ARNP

Location Address3908 10TH ST SEPuyallup, WA 98374-2188

Mailing Address3908 10th St SePuyallup, WA 98374-2188 · (253) 845-7073

Phone(253) 845-7073

Sole ProprietorNo

Enumeration DateSeptember 16, 2020

NPPES CertifiedSeptember 16, 2020

✔ NPI 1356957294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP61092015

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.

3908 10TH ST SE, Puyallup, WA 98374

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Other Names 1

Former Name (1)Shannon Marie Durham

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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 Marie Peerboom Arnp 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 Peerboom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dispatchhealth Washington PC

10 mi

Emergency Medicine

949 MARKET ST STE 602
Tacoma, WA 98402

Reassigned Medicare billing, Washington enrollment
120 clinicians in this Medicare group

NPI 1013490507 (253) 271-9720

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 98374 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.

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.

43.29/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

53.35

Promoting Interoperability

Improvement Activities

Cost

32.92

Reported Quality Measures

Documentation of Current Medications in the Medical Record

85%154 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

0%48 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

29%154 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 5% · 94 patients

4%94 patients

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 117 patients

Patients totalRate: 0% · 117 patients

0%117 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MRS. ADDIE J FINDLEY PA-C

Physician Assistant