SHELBY LYNNE SIMONIN PA
NPI 1780290296
Physician Assistant in Silverdale, WA

Q: What is Shelby Simonin's NPI number?

The NPI number for Shelby Simonin is 1780290296. It was assigned to this individual provider in the NPPES registry on September 20, 2020.

Q: What is Shelby Simonin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Shelby Simonin was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 20, 2020PECOS EnrolledAccepts Medicare Assignment

10452 SILVERDALE WAY NW, SILVERDALE, WA 98383(360) 307-7300 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 26, 2022, Oct 3, 2022, Sep 20, 2020 (3 updates tracked since 2020).

On this page

About Shelby Lynne Simonin Pa NPPES

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

SHELBY LYNNE SIMONIN PA (NPI 1780290296) is an individual physician assistant in Silverdale, Washington and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Davenport, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780290296

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameSHELBY LYNNE SIMONINCredential: PA

Location Address10452 SILVERDALE WAY NWSilverdale, WA 98383-9411

Mailing Address1320 W Lombard StDavenport, IA 52804-2029

Phone(360) 307-7300

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 20, 2020

Last NPPES UpdateOctober 26, 20223 updates tracked since enumeration

NPPES CertifiedOctober 26, 2022

✔ NPI 1780290296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

10452 SILVERDALE WAY NW, Silverdale, WA 98383

Open in Google Maps ↗

Secondary Practice Location 1

Location 11320 W Lombard StDavenport, IA 52804-2029 · Phone (563) 333-6069

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

Shelby Lynne Simonin Pa 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 ID446635635

PECOS Enrollment IDI20220926000309

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services36 patients

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.

19 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98383 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

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

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.

BRIAN K MILLER M.D.

Family Medicine