SHENA ALISA KRAVITZ MD
NPI 1619504941
Dermatology in Joint Base Lewis Mcchord, WA

Active since March 25, 2020PECOS EnrolledAccepts Medicare Assignment
9040 JACKSON AVE, JOINT BASE LEWIS MCCHORD, WA 98431(253) 968-2252 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 18, 2024, Aug 18, 2023, Mar 25, 2020 (3 updates tracked since 2020).

About Shena Alisa Kravitz Md NPPES

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

SHENA ALISA KRAVITZ MD (NPI 1619504941) is an individual dermatology provider in Joint Base Lewis Mcchord, Washington, licensed in Virginia (0101273115) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1619504941
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSHENA ALISA KRAVITZCredential: MD
Location Address9040 JACKSON AVEJoint Base Lewis Mcchord, WA 98431-0004
Mailing Address9040 Jackson AveJoint Base Lewis Mcchord, WA 98431-0001 · (253) 968-2252
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 25, 2020
Last NPPES UpdateJuly 18, 20243 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1619504941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in VA · 0101273115
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
9040 JACKSON AVE, Joint Base Lewis Mcchord, WA 98431

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

Shena Alisa Kravitz 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 ID7113431248
PECOS Enrollment IDI20250709003432
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 Shena Kravitz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Dermatology
7707 SE 27TH ST STE 104
Mercer Island, WA 98040
  • Reassigned Medicare billing, Washington enrollment
  • 11 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 98431 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 20

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

Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
General Practice
9040 JACKSON AVE
TACOMA, WA 98431

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 Shena Kravitz's NPI number?

The NPI number for Shena Kravitz is 1619504941. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Shena Kravitz located?

Shena Kravitz practices at 9040 Jackson Ave, Joint Base Lewis Mcchord, WA 98431. The listed phone number is (253) 968-2252.

What is Shena Kravitz's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Shena Kravitz enrolled in Medicare?

Yes. Shena Kravitz 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 Shena Kravitz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shena Kravitz reassigns Medicare benefits to Epiphany Dermatology Of Washington PLLC (Mercer Island, WA). 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 Shena Kravitz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shena Kravitz accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Shena Kravitz 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 Shena Kravitz was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.