SHELBY JAYE KOCH
NPI 1669225363
Family Medicine in Tacoma, WA

Q: What is Shelby Koch's NPI number?

The NPI number for Shelby Koch is 1669225363. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Q: What is Shelby Koch's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Koch was last updated on April 10, 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.

Active since April 10, 2024PECOS Enrolled

2209 E 32ND ST, TACOMA, WA 98404(253) 593-0232(253) 441-2695 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Shelby Jaye Koch NPPES

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

SHELBY JAYE KOCH (NPI 1669225363) is an individual family medicine provider in Tacoma, Washington, licensed in Washington (ML61550008) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669225363

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSHELBY JAYE KOCH

Location Address2209 E 32ND STTacoma, WA 98404-4922

Mailing Address215 H St NeEphrata, WA 98823-1731 · (509) 398-6979

Phone(253) 593-0232

Fax(253) 441-2695

Sole ProprietorNo

Enumeration DateApril 10, 2024

NPPES CertifiedApril 10, 2024

✔ NPI 1669225363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · ML61550008

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2209 E 32ND ST, Tacoma, WA 98404

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Jaye Koch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98404 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

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 20

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

DR. MYRA HAQ MD

Family Medicine