JOHN NELSON SHIRLEY FNP-BC
NPI 1639689896
Nurse Practitioner - Family in Kirkland, WA
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
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
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.
Medicare Billing Reassignments
6Medicare enrollment records show John Shirley reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Selah, WA 98942
- Reassigned Medicare billing, Washington enrollment
- 132 clinicians in this Medicare group
Phoenix, AZ 85004
- Reassigned Medicare billing, Washington enrollment
- 15 clinicians in this Medicare group
Marietta, GA 30067
- Reassigned Medicare billing, Georgia enrollment
- 10 clinicians in this Medicare group
Johns Creek, GA 30097
- Reassigned Medicare billing, Georgia enrollment
- 12 clinicians in this Medicare group
Decatur, GA 30033
- Reassigned Medicare billing, Georgia enrollment
- 11 clinicians in this Medicare group
Riverdale, GA 30274
- Reassigned Medicare billing, Georgia enrollment
- 10 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.
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, WAPhysician 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.
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.
KIRKLAND, WA 98033
KIRKLAND, WA 98033
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.
Which organizations bill Medicare for John Shirley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Shirley reassigns Medicare benefits to 6 organizations: Sunnyside Community Hospital Association (Selah, WA), Corner Health Medical Group P A (Phoenix, AZ), Restore First Health Marietta LLC (Marietta, GA), Duluth Regenerative And Joint Institute LLC (Johns Creek, GA), Prime Regen Decatur (Decatur, GA) and 1 more organization, listed in the Medicare section above. Each 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 John Shirley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 and 2 other insurers 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 40 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.
# John Nelson Shirley, FNP-BC · NPI 1639689896
Family physician in Kirkland, Washington. Individual provider, active in the CMS NPPES registry since October 2, 2017.
## Identity
- **NPI:** 1639689896 (Entity type: Individual)
- **Enumerated:** October 2, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP70106932 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 11417 124TH AVE NE STE 100, Kirkland, WA 98033-4677
- **Phone:** (800) 640-3451 · **Fax:** (385) 287-1900
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Sunnyside Community Hospital Association (NPI 1790204154, Selah, WA); Corner Health Medical Group P A (NPI 1205689171, Phoenix, AZ); Restore First Health Marietta LLC (NPI 1487378071, Marietta, GA); Duluth Regenerative And Joint Institute LLC (NPI 1609428325, Johns Creek, GA); Prime Regen Decatur (NPI 1811668593, Decatur, GA); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** September 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639689896) · Data from the CMS NPPES public registry.