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SHANE RUSSELL RALL MD
NPI 1538693049
Psychiatry & Neurology - Psychiatry in Soldotna, AK

Active since April 12, 2017PECOS EnrolledAccepts Medicare Assignment
230 E MARYDALE AVE, SOLDOTNA, AK 99669(907) 262-3119(907) 262-9290 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2021, Jun 18, 2019, Apr 12, 2017 (3 updates tracked since 2017).

About Shane Russell Rall Md NPPES

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

SHANE RUSSELL RALL MD (NPI 1538693049) is an individual psychiatry provider in Soldotna, Alaska, licensed in Alaska (175089) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Washington School Of Medicine (2017).

NPPES Registry Identity

NPI1538693049
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameSHANE RUSSELL RALLCredential: MD
Location Address230 E MARYDALE AVESoldotna, AK 99669-7648
Mailing Address230 E Marydale AveSoldotna, AK 99669-7648
Phone(907) 262-3119
Fax(907) 262-9290
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2017
Enumeration DateApril 12, 2017
Last NPPES UpdateAugust 16, 20213 updates tracked since enumeration
NPPES CertifiedAugust 16, 2021
✔ NPI 1538693049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in AK · 175089
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
230 E MARYDALE AVE, Soldotna, AK 99669
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1101 W 8th AveSpokane, WA 99204-2307 · Phone (509) 474-3131
Location 2107 S Division StSpokane, WA 99202-1510 · Phone (509) 838-4651

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shane Russell Rall Md 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 ID5395140933
PECOS Enrollment IDI20210820000418
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 Shane Rall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Peninsula Community Health Services Of Alaska, Inc.
Same address
Federally Qualified Health Center (FQHC)
230 E MARYDALE AVE
Soldotna, AK 99669
  • Reassigned Medicare billing, Alaska enrollment
  • 24 clinicians in this Medicare group
NPI 1700984614 (907) 260-7300

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 99669 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
$222.64 typical visit price
range $71.33 – $222.64
Typical copayment $55.66 (range $17.83 – $55.66)
Most-billed visit code 99205
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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.

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.

MS. AMANDA CHRISTINE GARRICK L.C.S.W.
Social Worker (Clinical)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
LINDSAY HAYGOOD LCSW
Social Worker (Clinical)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
AMY DAWN-DAY LPC
Counselor (Professional)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
BARBARA RANSOM A.N.P.
Nurse Practitioner (Psychiatric/Mental Health)
230 E MARYDALE AVE, SUITE 2
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 260-3691
PENINSULA COMMUNITY HEALTH SERVICES OF ALASKA, INC.
Community/Behavioral Health
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
DR. PAMELA ANN HAYS PH.D.
Psychologist (Clinical)
230 E MARYDALE AVE, SUITE 2
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 260-3691
ZACHARY MICHAEL HUOT DPT
Physical Therapist
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 262-3119
KRISTINA GOOLSBY LPC
Counselor (Professional)
230 E MARYDALE AVE
SOLDOTNA, AK 99669
Kenai Peninsula Borough (907) 260-3691

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 Shane Rall's NPI number?

The NPI number for Shane Rall is 1538693049. It was assigned to this individual provider in the NPPES registry on April 12, 2017.

Where is Shane Rall located?

Shane Rall practices at 230 E Marydale Ave, Soldotna, AK 99669. The listed phone number is (907) 262-3119.

What is Shane Rall's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shane Rall enrolled in Medicare?

Yes. Shane Rall 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.

Which organization bills Medicare for Shane Rall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Rall reassigns Medicare benefits to Peninsula Community Health Services Of Alaska, Inc. (Soldotna, AK). 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 Shane Rall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shane Rall accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Shane Rall 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.

When was this NPI record last updated?

The NPPES record for Shane Rall was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.