SHANNON URSULA WATERMAN MD
NPI 1649279860
General Practice in Tacoma, WA
NPI Status: Active since July 19, 2005
Contact Information
11225 PACIFIC AVENUE
PARKLAND CLINIC COMMUNITY HEALTHCARE
TACOMA, WA
ZIP 98444
Phone: (253) 536-2020
Fax: (253) 536-5327
- Individual
- Female
- General Practice
- Accepts Insurance
- PECOS Enrolled
About SHANNON WATERMAN
This page provides the complete NPI Profile along with additional information for Shannon Waterman, a primary care provider established in Tacoma, Washington with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1649279860 assigned on July 2005. The practitioner's primary taxonomy code is 208D00000X with license number MD00041919 (WA). The provider is registered as an individual and her NPI record was last updated 16 years ago.
- NPI
- 1649279860
- Provider Name
- SHANNON URSULA WATERMAN MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 11225 PACIFIC AVENUE PARKLAND CLINIC COMMUNITY HEALTHCARE TACOMA, WA 98444
- Location Phone
- (253) 536-2020
- Location Fax
- (253) 536-5327
- Mailing Address
- 101 E 26TH STREET TACOMA, WA 98421
- Mailing Phone
- (253) 722-1540
- Mailing Fax
- (253) 536-5327
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-19-2005
- Last Update Date
- 08-05-2009
- Code Navigator
A primary care provider (PCP) like Shannon Waterman sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD00041919
- License State
- WA
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 025209MD00041909 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Navigator Bronze 7000 Exchange - PPO
- Navigator Bronze 9200 - PPO
- Navigator Bronze HSA 8050 - PPO
- Navigator Gold 1500 - PPO
- Navigator Gold 1500 Exchange - PPO
- Navigator Gold 500 Exchange - PPO
- Navigator Silver 3500 Exchange - PPO
- Navigator Silver 4000 Exchange - PPO
- Navigator Silver 5000 - PPO
- Navigator Silver HSA 3500 - PPO
- Navigator Standard Expanded Bronze - PPO
- Navigator Standard Gold - PPO
- Navigator Standard Silver - PPO
- PacificSource Oregon Standard Bronze Plan NAV - PPO
- PacificSource Oregon Standard Gold Plan NAV - PPO
- PacificSource Oregon Standard Silver Plan NAV - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00707652 | OTHER (01) | MEDICARE RAILROAD | |
| 8HBX77 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| 8505422 | MEDICAID (05) | WA | |
| 8871165 | MEDICARE PIN (08) | ||
| I01237 | MEDICARE UPIN (02) | ||
| 41383885 | MEDICAID (05) | NM |
Medicare Participation & PECOS Enrollment Status
Shannon Waterman is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 30-39 minutes
New patient office or other outpatient visit, 45-59 minutes
Telephone medical discussion with physician, 11-20 minutes
Telephone medical discussion with physician, 21-30 minutes
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 46 times for 33 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 12 times for 12 patientsThis is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
This service was performed 17 times for 12 patientsThis service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
This service was performed 18 times for 11 patientsReviews for SHANNON URSULA WATERMAN MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 4 | 9 | 2 | 7 | 9 | 8 | 6 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 4 | 7 | 18 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 4 + 7 + 1 + 8 + 8 + 1 + 2 + 24 = 80 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1649279860 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
CARRI JO TIMMER D.O.
Family Medicine
11225 PACIFIC AVENUE
PARKLAND CLINIC
TACOMA, WA
ZIP 98444
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649279860, enumerated as an "individual" on July 19, 2005.
The provider is located at 11225 PACIFIC AVENUE PARKLAND CLINIC COMMUNITY HEALTHCARE TACOMA, WA 98444 and the phone number is (253) 536-2020.
General Practice with taxonomy code 208D00000X.
The provider might be accepting Accepts: PacificSource Health Plans, Railroad Medicare,. Please consult your insurance carrier or call the provider to verify.
