Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN NELSON SHIRLEY FNP-BC
NPI 1639689896
Nurse Practitioner - Family in Kirkland, WA

Active since October 02, 2017PECOS Enrolled
11417 124TH AVE NE STE 100, KIRKLAND, WA 98033(800) 640-3451(385) 287-1900 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 17, 2026, Aug 4, 2026, Jul 31, 2026 and 1 more (4 updates tracked since 2026).

About John Nelson Shirley Fnp-bc NPPES

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

JOHN NELSON SHIRLEY FNP-BC (NPI 1639689896) is an individual family provider in Kirkland, Washington, licensed in Washington (AP70106932) and active in the NPI registry since October 2017. He is enrolled in Medicare PECOS, is affiliated with Astria Sunnyside Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639689896
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJOHN NELSON SHIRLEYCredential: FNP-BC
Location Address11417 124TH AVE NE STE 100Kirkland, WA 98033-4677
Mailing Address220 W Grandview Ave Apt A31Sunnyside, WA 98944-1876 · (770) 316-6087
Fax(385) 287-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 2, 2017
Last NPPES UpdateSeptember 17, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1639689896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in WA · AP70106932✔ Licensed in GA · 2017016476
11417 124TH AVE NE STE 100, Kirkland, WA 98033

Secondary Practice Locations 2

Location 11016 Tacoma AveSunnyside, WA 98944-2263 · Phone (509) 837-1500 · Fax (509) 837-4908
Location 225195 SW Parkway Ave Ste 210Wilsonville, OR 97070-9689 · Phone (800) 640-3451 · Fax (385) 287-1900

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John Nelson Shirley Fnp-bc 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 ID8123379252
PECOS Enrollment IDI20260410003221
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Astria Sunnyside Hospital

Critical Access Hospitals · Sunnyside, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number501330
Location1016 Tacoma AvenueSunnyside, WA 98944 · Yakima County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98033 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
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 5

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

Nurse Practitioner (Family)
11417 124TH AVE NE STE 100
KIRKLAND, WA 98033
Nurse Practitioner
11417 124TH AVE NE STE 100
KIRKLAND, WA 98033
Nurse Practitioner (Family)
11417 124TH AVE NE STE 100
KIRKLAND, WA 98033
Nurse Practitioner
11417 124TH AVE NE STE 100
KIRKLAND, WA 98033
Nurse Practitioner (Gerontology)
11417 124TH AVE NE STE 100
KIRKLAND, WA 98033

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 John Shirley's NPI number?

The NPI number for John Shirley is 1639689896. It was assigned to this individual provider in the NPPES registry on October 2, 2017.

Where is John Shirley located?

John Shirley practices at 11417 124th Ave NE Ste 100, Kirkland, WA 98033. The listed phone number is (800) 640-3451.

What is John Shirley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is John Shirley enrolled in Medicare?

Yes. John Shirley 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.

What insurance does John Shirley accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list John Shirley 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.

Is John Shirley affiliated with any hospitals?

According to CMS data, John Shirley is affiliated with Astria Sunnyside Hospital.

When was this NPI record last updated?

The NPPES record for John Shirley was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.