1. Home
  2. Directory
  3. Washington
  4. Pasco
  5. Physician Assistant
  6. NPI Profile

TYLER JAY SHAW PA
NPI 1548612153
Physician Assistant in Pasco, WA

Active since July 07, 2016PECOS Enrolled

NPPES record last updated: October 2, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tyler Jay Shaw Pa NPPES

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

TYLER JAY SHAW PA (NPI 1548612153) is an individual physician assistant in Pasco, Washington and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Richland.

NPPES Registry Identity

NPI1548612153
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTYLER JAY SHAWCredential: PA
Location Address5304 ROAD 68Pasco, WA 99301-8078
Mailing Address6703 W Rio Grande AveKennewick, WA 99336-2623 · (509) 460-5588 · Fax (509) 736-1503
Phone(509) 543-9300
Sole ProprietorNo
Enumeration DateJuly 7, 2016
Last NPPES UpdateOctober 2, 2020
NPPES CertifiedOctober 2, 2020
✔ NPI 1548612153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
5304 ROAD 68, Pasco, WA 99301
Open in Google Maps ↗

Secondary Practice Location 1

Location 1821 Swift BlvdRichland, WA 99352-3513 · Phone (509) 460-5588 · Fax (509) 783-5438

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tyler Jay Shaw Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
89 services88 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
59 services58 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99301 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.

Other Providers at the Same Location NPPES 8

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

ROBERT ALLAN MARGULIES MD
Emergency Medicine
5304 ROAD 68
PASCO, WA 99301
Franklin County (095) 439-3005
DR. MARSHALL KEITH BROWN D.O.
Family Medicine
5304 ROAD 68
PASCO, WA 99301
Franklin County (509) 543-9300
ERIC PEARSON P.A.
Physician Assistant
5304 ROAD 68
PASCO, WA 99301
Franklin County (509) 543-9300
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
5304 ROAD 68
PASCO, WA 99301
Franklin County (509) 547-3303
CARLY ALLISON BEESLEY NP
Nurse Practitioner (Family)
5304 ROAD 68
PASCO, WA 99301
Franklin County (509) 543-9300
NANCY CAROLINA MENJIVAR
Nurse Practitioner (Family)
5304 ROAD 68
PASCO, WA 99301
Franklin County (509) 543-9300
KEVIN RALPH TAYLOR MD
Family Medicine
5304 ROAD 68
PASCO, WA 99301
Franklin County (509) 543-9300
MICHAEL CARNEY PA
Physician Assistant (Surgical)
5304 ROAD 68
PASCO, WA 99301
Franklin County (509) 543-9300

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 Tyler Shaw's NPI number?

The NPI number for Tyler Shaw is 1548612153. It was assigned to this individual provider in the NPPES registry on July 7, 2016.

Where is Tyler Shaw located?

Tyler Shaw practices at 5304 Road 68, Pasco, WA 99301. The listed phone number is (509) 543-9300.

What is Tyler Shaw's specialty?

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

Is Tyler Shaw enrolled in Medicare?

Yes. Tyler Shaw is registered in the Medicare PECOS enrollment system.

What insurance does Tyler Shaw accept?

Health plans from PacificSource Health Plans and Providence Health Plan list Tyler Shaw 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 Tyler Shaw was last updated on October 2, 2020. 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.