KYLE SHAFER
NPI 1376172775
Physician Assistant in Ilwaco, WA
About Kyle Shafer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KYLE SHAFER (NPI 1376172775) is an individual physician assistant in Ilwaco, Washington, licensed in Washington (61076997) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Columbia Memorial Hospital, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kyle Shafer 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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Columbia Memorial Hospital
Critical Access Hospitals · Astoria, ORPeacehealth St John Medical Center
Acute Care Hospitals · Longview, WAWillapa Harbor Hospital
Critical Access Hospitals · South Bend, WAOcean Beach Hospital
Critical Access Hospitals · Ilwaco, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98624 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ILWACO, WA 98624
ILWACO, WA 98624
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 Kyle Shafer's NPI number?
The NPI number for Kyle Shafer is 1376172775. It was assigned to this individual provider in the NPPES registry on April 7, 2020.
Where is Kyle Shafer located?
Kyle Shafer practices at 176 1st Ave N, Ilwaco, WA 98624. The listed phone number is (360) 642-3747.
What is Kyle Shafer's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Kyle Shafer enrolled in Medicare?
Yes. Kyle Shafer 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.
What insurance does Kyle Shafer accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Kyle Shafer 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 Kyle Shafer affiliated with any hospitals?
According to CMS data, Kyle Shafer is affiliated with Columbia Memorial Hospital, Peacehealth St John Medical Center, Willapa Harbor Hospital and Ocean Beach Hospital.
When was this NPI record last updated?
The NPPES record for Kyle Shafer was last updated on July 22, 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.
# Kyle Shafer · NPI 1376172775
Physician Assistant physician in Ilwaco, Washington. Individual provider, active in the CMS NPPES registry since April 7, 2020.
## Identity
- **NPI:** 1376172775 (Entity type: Individual)
- **Enumerated:** April 7, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 61076997 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 176 1ST AVE N, Ilwaco, WA 98624-9137
- **Phone:** (360) 642-3747
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1376172775) · Data from the CMS NPPES public registry.