Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CAROLYN JEAN SHOEMAKER PA-C
NPI 1477856649
Physician Assistant in Clarkston, WA

Active since December 10, 2010PECOS Enrolled
1433 5TH ST, CLARKSTON, WA 99403(509) 758-5141(509) 758-5299 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2026, Apr 9, 2025, Feb 24, 2025 and 3 more (6 updates tracked since 2018).

About Carolyn Jean Shoemaker Pa-c NPPES

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

CAROLYN JEAN SHOEMAKER PA-C (NPI 1477856649) is an individual physician assistant in Clarkston, Washington, licensed in Washington (PA60620540) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Gritman Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1477856649
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROLYN JEAN SHOEMAKERCredential: PA-C
Location Address1433 5TH STClarkston, WA 99403-2714
Mailing Address4700 Exchange Ct Ste 110Boca Raton, FL 33431-4450 · (561) 948-0291 · Fax (561) 859-0429
Fax(509) 758-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 10, 2010
Last NPPES UpdateJuly 31, 20266 updates tracked since enumeration
NPPES CertifiedJuly 31, 2026
NPI 1477856649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA60620540
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA-879 (ID)
1433 5TH ST, Clarkston, WA 99403

Secondary Practice Locations 2

Location 1412 S. Main St.Troy, ID 83871 · Phone (208) 835-5550
Location 2719 S Main StMoscow, ID 83843-3041 · Phone (208) 883-1152

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

Carolyn Jean Shoemaker Pa-c 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 ID8426237819
PECOS Enrollment IDI20110201000677, I20250319003093
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.

Hospital Affiliations CMS Care Compare 2

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

Gritman Medical Center

Critical Access Hospitals · Moscow, ID
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number131327
Location700 South Main StreetMoscow, ID 83843 · Latah County
Emergency services

Pullman Regional Hospital

Critical Access Hospitals · Pullman, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501331
Location835 S Bishop BlvdPullman, WA 99163 · Whitman County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99403 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
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
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.

Reported Quality Measures

Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
65%23 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
70%23 patients3/55-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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers13 claims13 services$47.72 avg. paid by Medicare
Manual wheelchair accessory, push-rim activated power assist system E0986
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$346.73 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$168.52 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner
1433 5TH ST
CLARKSTON, WA 99403
Physician Assistant
1433 5TH ST
CLARKSTON, WA 99403
Dermatology
1433 5TH ST
CLARKSTON, WA 99403

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 Carolyn Shoemaker's NPI number?

The NPI number for Carolyn Shoemaker is 1477856649. It was assigned to this individual provider in the NPPES registry on December 10, 2010.

Where is Carolyn Shoemaker located?

Carolyn Shoemaker practices at 1433 5th St, Clarkston, WA 99403. The listed phone number is (509) 758-5141.

What is Carolyn Shoemaker's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carolyn Shoemaker enrolled in Medicare?

Yes. Carolyn Shoemaker 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 Carolyn Shoemaker accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Carolyn Shoemaker 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 Carolyn Shoemaker affiliated with any hospitals?

According to CMS data, Carolyn Shoemaker is affiliated with Gritman Medical Center and Pullman Regional Hospital.

When was this NPI record last updated?

The NPPES record for Carolyn Shoemaker was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.