SHAE KRISTINE ROCKENBACH RD
NPI 1487429619
Dietitian, Registered in Pullman, WA

Active since November 17, 2023
835 SE BISHOP BLVD, PULLMAN, WA 99163(208) 691-4837 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shae Kristine Rockenbach Rd NPPES

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

SHAE KRISTINE ROCKENBACH RD (NPI 1487429619) is an individual dietitian, registered in Pullman, Washington, licensed in (86065857) and active in the NPI registry since November 2023. She is affiliated with Pullman Regional Hospital, maintains a secondary practice location in Pullman, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1487429619
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameSHAE KRISTINE ROCKENBACHCredential: RD
Location Address835 SE BISHOP BLVDPullman, WA 99163-5512
Mailing Address1945 Nw Arcadia DrPullman, WA 99163-3702 · (208) 691-4837
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 17, 2023
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1487429619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Licenses✔ Licensed · 86065857✔ Licensed in WA · DI61062670
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
835 SE BISHOP BLVD, Pullman, WA 99163

Other Names 1

Former Name (1)Shae Kristine Carson

Secondary Practice Location 1

Location 1825 SE Bishop Blvd Ste 401Pullman, WA 99163-5517 · Phone (509) 336-7543

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shae Kristine Rockenbach Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628428125
PECOS Enrollment IDI20260114001710

Medicare Billing Reassignment

Medicare enrollment records show Shae Rockenbach reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Critical Access
835 SE BISHOP BLVD
Pullman, WA 99163
  • Reassigned Medicare billing, Washington enrollment
  • 151 clinicians in this Medicare group

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.

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

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.

Registered Nurse
835 SE BISHOP BLVD
PULLMAN, WA 99163
Physical Therapy Assistant
835 SE BISHOP BLVD
PULLMAN, WA 99163
Registered Nurse
835 SE BISHOP BLVD
PULLMAN, WA 99163
Nurse Anesthetist, Certified Registered
835 SE BISHOP BLVD
PULLMAN, WA 99163
Nurse Anesthetist, Certified Registered
835 SE BISHOP BLVD
PULLMAN, WA 99163
Dietitian, Registered
835 SE BISHOP BLVD
PULLMAN, WA 99163
Nurse Anesthetist, Certified Registered
835 SE BISHOP BLVD
PULLMAN, WA 99163
Nurse Anesthetist, Certified Registered
835 SE BISHOP BLVD
PULLMAN, WA 99163

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 Shae Rockenbach's NPI number?

The NPI number for Shae Rockenbach is 1487429619. It was assigned to this individual provider in the NPPES registry on November 17, 2023. The provider is also known as Shae Kristine Carson.

Where is Shae Rockenbach located?

Shae Rockenbach practices at 835 SE Bishop Blvd, Pullman, WA 99163. The listed phone number is (208) 691-4837.

What is Shae Rockenbach's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Shae Rockenbach enrolled in Medicare?

Yes. Shae Rockenbach is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shae Rockenbach's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shae Rockenbach reassigns Medicare benefits to Public Hospital District #1-A Of Whitman County (Pullman, 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 Shae Rockenbach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shae Rockenbach accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shae Rockenbach 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 Shae Rockenbach affiliated with any hospitals?

According to CMS data, Shae Rockenbach is affiliated with Pullman Regional Hospital.

When was this NPI record last updated?

The NPPES record for Shae Rockenbach was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.