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KATHRYN MARIE SHINE FNP
NPI 1720522873
Nurse Practitioner - Family in Redmond, OR

Active since December 08, 2016PECOS EnrolledAccepts Medicare Assignment
1541 NW CANAL BLVD, REDMOND, OR 97756(541) 706-5800(541) 706-5800 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kathryn Marie Shine Fnp NPPES

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

KATHRYN MARIE SHINE FNP (NPI 1720522873) is an individual family provider in Redmond, Oregon, licensed in Oregon (201607532NP-PP) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS, is affiliated with St Charles Medical Center - Bend, and maintains a secondary practice location in Troutdale.

NPPES Registry Identity

NPI1720522873
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHRYN MARIE SHINECredential: FNP
Location Address1541 NW CANAL BLVDRedmond, OR 97756-1341
Mailing Address2800 Sw 257th AveTroutdale, OR 97060-1803 · (503) 667-7711
Phone(541) 706-5800
Fax(541) 706-5800
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 8, 2016
Last NPPES UpdateJune 13, 2022
NPPES CertifiedJune 13, 2022
✔ NPI 1720522873 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
License✔ Licensed in OR · 201607532NP-PP
1541 NW CANAL BLVD, Redmond, OR 97756
Open in Google Maps ↗

Secondary Practice Location 1

Location 12800 SW 257th AveTroutdale, OR 97060-1803 · Phone (503) 667-7711

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan.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

Kathryn Marie Shine Fnp 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 ID1759662505
PECOS Enrollment IDI20170510000753
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
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.
142 services104 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services33 patients

Hospital Affiliations CMS Care Compare 5

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

St Charles Medical Center - Bend

Acute Care Hospitals · Bend, OR
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number380047
Location2500 NE Neff RoadBend, OR 97701 · Deschutes County
Emergency services Birthing friendly

Blue Mountain Hospital

Critical Access Hospitals · John Day, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381305
Location170 Ford RoadJohn Day, OR 97845 · Grant County
Emergency services

Harney District Hospital

Critical Access Hospitals · Burns, OR
OwnershipGovernment - Hospital District or Authority
CMS Certification Number381307
Location557 W Washington StreetBurns, OR 97720 · Harney County
Emergency services

St Charles Medical Center Prineville

Critical Access Hospitals · Prineville, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381313
Location384 SE Combs Flat RoadPrineville, OR 97754 · Crook County
Emergency services

St Charles Madras

Critical Access Hospitals · Madras, OR
OwnershipVoluntary non-profit - Private
CMS Certification Number381324
Location470 NE A StreetMadras, OR 97741 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97756 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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

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

BEND MEMORIAL CLINIC PC
Specialist
1541 NW CANAL BLVD
REDMOND, OR 97756
Deschutes County (541) 382-2811

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 Kathryn Shine's NPI number?

The NPI number for Kathryn Shine is 1720522873. It was assigned to this individual provider in the NPPES registry on December 8, 2016.

Where is Kathryn Shine located?

Kathryn Shine practices at 1541 NW Canal Blvd, Redmond, OR 97756. The listed phone number is (541) 706-5800.

What is Kathryn Shine's specialty?

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

Is Kathryn Shine enrolled in Medicare?

Yes. Kathryn Shine 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 Kathryn Shine accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Kathryn Shine 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 Kathryn Shine affiliated with any hospitals?

According to CMS data, Kathryn Shine is affiliated with St Charles Medical Center - Bend, Blue Mountain Hospital, Harney District Hospital, St Charles Medical Center Prineville and St Charles Madras.

When was this NPI record last updated?

The NPPES record for Kathryn Shine was last updated on June 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.