SHELBY MAE VAN WAITE MD
NPI 1598408817
Family Medicine in Clackamas, OR
About Shelby Mae Van Waite Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELBY MAE VAN WAITE MD (NPI 1598408817) is an individual family medicine provider in Clackamas, Oregon, licensed in Oregon (MD225310) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Oregon Health Sciences University School Of Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
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
Shelby Mae Van Waite 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.
Medicare Billing Reassignment
Medicare enrollment records show Shelby Van Waite reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 97015 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 Van Waite's NPI number?
The NPI number for Shelby Van Waite is 1598408817. It was assigned to this individual provider in the NPPES registry on April 14, 2022.
Where is Shelby Van Waite located?
Shelby Van Waite practices at 10100 SE Sunnyside Rd, Clackamas, OR 97015. The listed phone number is (800) 813-2000.
What is Shelby Van Waite's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shelby Van Waite enrolled in Medicare?
Yes. Shelby Van Waite 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 Shelby Van Waite's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Van Waite reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Clackamas, OR). 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 Shelby Van Waite's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shelby Van Waite was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Shelby Mae Van Waite, MD · NPI 1598408817
Family Medicine physician in Clackamas, Oregon. Individual provider, active in the CMS NPPES registry since April 14, 2022.
## Identity
- **NPI:** 1598408817 (Entity type: Individual)
- **Enumerated:** April 14, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD225310 (Oregon)
- **Sole proprietor:** No
## Practice location
- **Address:** 10100 SE SUNNYSIDE RD, Clackamas, OR 97015-8970
- **Phone:** (800) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1174851505, Clackamas, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oregon Health Sciences University School Of Medicine, class of 2022
## Record status
- **NPPES last updated:** July 30, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1598408817) · Data from the CMS NPPES public registry.