ANGELA MARIE SHIMODA MD
NPI 1639798077
Family Medicine in Chehalis, WA
About Angela Marie Shimoda Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA MARIE SHIMODA MD (NPI 1639798077) is an individual family medicine provider in Chehalis, Washington, licensed in Washington (MD61061508) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Providence St Peter Hospital, and maintains a secondary practice location in Elma.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Angela Marie Shimoda 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.
Medicare Billing Reassignments
2Medicare enrollment records show Angela Shimoda reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Centralia, WA 98531
- Reassigned Medicare billing, Washington enrollment
- 646 clinicians in this Medicare group
Mccleary, WA 98557
- Reassigned Medicare billing, Washington enrollment
- Also billed through NPI 1740211028 (Washington)
- 138 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 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Providence St Peter Hospital
Acute Care Hospitals · Olympia, WAGrays Harbor Community Hospital
Acute Care Hospitals · Aberdeen, WASummit Pacific Medical Center
Critical Access Hospitals · Elma, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98532 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHEHALIS, WA 98532
CHEHALIS, WA 98532
CHEHALIS, WA 98532
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 Angela Shimoda's NPI number?
The NPI number for Angela Shimoda is 1639798077. It was assigned to this individual provider in the NPPES registry on April 15, 2020.
Where is Angela Shimoda located?
Angela Shimoda practices at 931 S Market Blvd, Chehalis, WA 98532. The listed phone number is (360) 767-6300.
What is Angela Shimoda's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Angela Shimoda enrolled in Medicare?
Yes. Angela Shimoda 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 Angela Shimoda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Shimoda reassigns Medicare benefits to 2 organizations: Providence Health & Services Washington (Centralia, WA) and Grays Harbor County Public Hospital District No. 1 (Mccleary, WA). 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 Angela Shimoda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Angela Shimoda accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Angela Shimoda 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 Angela Shimoda affiliated with any hospitals?
According to CMS data, Angela Shimoda is affiliated with Providence St Peter Hospital, Grays Harbor Community Hospital and Summit Pacific Medical Center.
When was this NPI record last updated?
The NPPES record for Angela Shimoda was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Angela Marie Shimoda, MD · NPI 1639798077
Family Medicine physician in Chehalis, Washington. Individual provider, active in the CMS NPPES registry since April 15, 2020.
## Identity
- **NPI:** 1639798077 (Entity type: Individual)
- **Enumerated:** April 15, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD61061508 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 931 S MARKET BLVD, Chehalis, WA 98532-3423
- **Phone:** (360) 767-6300 · **Fax:** (360) 767-6320
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services Washington (NPI 1225763949, Centralia, WA); Grays Harbor County Public Hospital District No. 1 (NPI 1255401683, Mccleary, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Colorado School Of Medicine, Denver, class of 2020
## Record status
- **NPPES last updated:** August 5, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1639798077) · Data from the CMS NPPES public registry.