DR. SHELBY APODACA M.D.
NPI 1457694390
Hospitalist in Spokane, WA

Active since March 28, 2013PECOS EnrolledAccepts Medicare Assignment
910 W 5TH AVE STE 300, SPOKANE, WA 99204(509) 838-2531(509) 755-6580 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, Jan 14, 2021, Apr 18, 2019 and 1 more (4 updates tracked since 2017).

About Dr. Shelby Apodaca M.d. NPPES

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

DR. SHELBY APODACA M.D. (NPI 1457694390) is an individual hospitalist provider in Spokane, Washington, licensed in Idaho (M15201) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Coeur D Alene.

NPPES Registry Identity

NPI1457694390
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. SHELBY APODACACredential: M.D.
Location Address910 W 5TH AVE STE 300Spokane, WA 99204-2972
Mailing Address2003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · (208) 625-3961 · Fax (208) 625-6790
Fax(509) 755-6580
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 28, 2013
Last NPPES UpdateJuly 22, 20254 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
NPI 1457694390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in ID · M15201
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License MD60721548 (WA), M-15201 (ID)
910 W 5TH AVE STE 300, Spokane, WA 99204

Other Names 1

Former Name (1)Shelby Clements

Secondary Practice Location 1

Location 12003 Kootenai Health WayCoeur D Alene, ID 83814-6051 · Phone (208) 625-3961 · Fax (208) 625-6790

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

Dr. Shelby Apodaca M.d. 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 ID4981973716
PECOS Enrollment IDI20200630001938
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
50 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
40 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services14 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Kootenai Health

Acute Care Hospitals · Coeur D'alene, ID
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number130049
Location2003 Kootenai Health WayCoeur D'alene, ID 83814 · Kootenai County
Emergency services Birthing friendly

Bonner General Hospital

Critical Access Hospitals · Sandpoint, ID
OwnershipVoluntary non-profit - Private
CMS Certification Number131328
Location520 North Third AvenueSandpoint, ID 83864 · Bonner County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
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.

Other Providers at the Same Location NPPES 13

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

Advanced Practice Midwife
910 W 5TH AVE STE 300
SPOKANE, WA 99204
Nurse Practitioner (Women's Health)
910 W 5TH AVE STE 300
SPOKANE, WA 99204
Advanced Practice Midwife
910 W 5TH AVE STE 300
SPOKANE, WA 99204
Obstetrics & Gynecology
910 W 5TH AVE STE 300
SPOKANE, WA 99204
Advanced Practice Midwife
910 W 5TH AVE STE 300
SPOKANE, WA 99204
Advanced Practice Midwife
910 W 5TH AVE STE 300
SPOKANE, WA 99204
Obstetrics & Gynecology (Obstetrics)
910 W 5TH AVE STE 300
SPOKANE, WA 99204
Midwife
910 W 5TH AVE STE 300
SPOKANE, WA 99204

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 Shelby Apodaca's NPI number?

The NPI number for Shelby Apodaca is 1457694390. It was assigned to this individual provider in the NPPES registry on March 28, 2013. The provider is also known as Shelby Clements.

Where is Shelby Apodaca located?

Shelby Apodaca practices at 910 W 5th Ave Ste 300, Spokane, WA 99204. The listed phone number is (509) 838-2531.

What is Shelby Apodaca's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Shelby Apodaca enrolled in Medicare?

Yes. Shelby Apodaca 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 Shelby Apodaca accept?

Health plans from Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shelby Apodaca 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 Shelby Apodaca affiliated with any hospitals?

According to CMS data, Shelby Apodaca is affiliated with Kootenai Health and Bonner General Hospital.

When was this NPI record last updated?

The NPPES record for Shelby Apodaca was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.