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MISTY D SHORES AU.D.
NPI 1619197399
Audiologist in Spokane, WA

Active since April 26, 2007Accepts Medicare Assignment
5628 N DIVISION ST STE D1, SPOKANE, WA 99208(509) 484-8069(509) 462-4086 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Misty D Shores Au.d. NPPES

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

MISTY D SHORES AU.D. (NPI 1619197399) is an individual audiologist in Spokane, Washington, licensed in Washington (LD00003521) and active in the NPI registry since April 2007. She is a graduate of Other (2003).

NPPES Registry Identity

NPI1619197399
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameMISTY D SHORESCredential: AU.D.
Location Address5628 N DIVISION ST STE D1Spokane, WA 99208-1268
Mailing Address910 N Washington St Ste 209Spokane, WA 99201-2260 · (509) 484-8069 · Fax (509) 462-4086
Phone(509) 484-8069
Fax(509) 462-4086
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 26, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1619197399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in WA · LD00003521
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
5628 N DIVISION ST STE D1, Spokane, WA 99208
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Other Identifiers 1

Medicaid8377079WA

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

Misty D Shores Au.d. 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 ID8628573466
PECOS Enrollment IDI20250924000338

Medicare Billing Reassignment

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

Southeast Alaska Regional Health Consortium
798 mi
Clinic/Center
SUNRISE LODGE
Edna Bay, AK 99901
  • Reassigned Medicare billing, Texas enrollment
  • 640 clinicians in this Medicare group
NPI 1518403906 (907) 874-4700

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 99208 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
$57.27 typical visit price
range $57.27 – $172.80
Typical copayment $14.31 (range $14.31 – $43.20)
Most-billed visit code 99202
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.

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 Misty Shores's NPI number?

The NPI number for Misty Shores is 1619197399. It was assigned to this individual provider in the NPPES registry on April 26, 2007.

Where is Misty Shores located?

Misty Shores practices at 5628 N Division St Ste D1, Spokane, WA 99208. The listed phone number is (509) 484-8069.

What is Misty Shores's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

Is Misty Shores enrolled in Medicare?

Yes. Misty Shores 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 Misty Shores's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Shores reassigns Medicare benefits to Southeast Alaska Regional Health Consortium (Edna Bay, 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 Misty Shores's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misty Shores accept?

Health plans from Moda Health Plan, Inc. and Premera Blue Cross Blue Shield of Alaska list Misty Shores 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 Misty Shores was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.