ELIZABETH SHAKE
NPI 1609432285
Student in an Organized Health Care Education/Training Program in Augusta, GA
About Elizabeth Shake NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELIZABETH SHAKE (NPI 1609432285) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Louisville School Of Medicine (2021).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted 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
Elizabeth Shake 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 Elizabeth Shake reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Louisville, KY 40207
- Reassigned Medicare billing, Kentucky enrollment
- 7 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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUGUSTA, GA 30912
AUGUSTA, GA 30912
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 Elizabeth Shake's NPI number?
The NPI number for Elizabeth Shake is 1609432285. It was assigned to this individual provider in the NPPES registry on May 19, 2019.
Where is Elizabeth Shake located?
Elizabeth Shake practices at 1475 Laney Walker Blvd, Augusta, GA 30912. The listed phone number is (706) 721-7005.
What is Elizabeth Shake's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Elizabeth Shake enrolled in Medicare?
Yes. Elizabeth Shake 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 Elizabeth Shake's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth Shake reassigns Medicare benefits to All Women Ob/Gyn, Psc (Louisville, KY). 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 Elizabeth Shake's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Elizabeth Shake accept?
Health plans from Anthem Blue Cross and Blue Shield list Elizabeth Shake 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 Elizabeth Shake was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Elizabeth Shake · NPI 1609432285
Student in an Organized Health Care Education/Training Program provider in Augusta, Georgia. Individual provider, active in the CMS NPPES registry since May 19, 2019.
## Identity
- **NPI:** 1609432285 (Entity type: Individual)
- **Enumerated:** May 19, 2019
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 1475 LANEY WALKER BLVD, Augusta, GA 30912-0002
- **Phone:** (706) 721-7005
## 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:** All Women Ob/Gyn, Psc (NPI 1902880990, Louisville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Louisville School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** June 30, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1609432285) · Data from the CMS NPPES public registry.