MRS. ELIZABETH KATHLEEN SHUCKHART PA-C
NPI 1780968883
Physician Assistant - Medical in Federal Way, WA

Active since October 06, 2011PECOS EnrolledAccepts Medicare Assignment
301 S 320TH ST, FEDERAL WAY, WA 98003(253) 874-7000 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Elizabeth Kathleen Shuckhart Pa-c NPPES

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

MRS. ELIZABETH KATHLEEN SHUCKHART PA-C (NPI 1780968883) is an individual medical provider in Federal Way, Washington, licensed in Washington (PA60252177) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1780968883
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. ELIZABETH KATHLEEN SHUCKHARTCredential: PA-C
Location Address301 S 320TH STFederal Way, WA 98003-5200
Mailing Address301 S 320th StFederal Way, WA 98003-5200 · (253) 874-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 6, 2011
Last NPPES UpdateMay 5, 2021
NPPES CertifiedMay 5, 2021
NPI 1780968883 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in WA · PA60252177
301 S 320TH ST, Federal Way, WA 98003

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

Mrs. Elizabeth Kathleen Shuckhart Pa-c 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 ID1658530373
PECOS Enrollment IDI20120315000251
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.

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.

Pediatrics
301 S 320TH ST
FEDERAL WAY, WA 98003
Physical Therapist
301 S 320TH ST
FEDERAL WAY, WA 98003
Family Medicine
301 S 320TH ST
FEDERAL WAY, WA 98003
Case Manager/Care Coordinator
301 S 320TH ST
FEDERAL WAY, WA 98003
Optometrist
301 S 320TH ST
FEDERAL WAY, WA 98003
Clinic/Center
301 S 320TH ST
FEDERAL WAY, WA 98003
Optometrist
301 S 320TH ST
FEDERAL WAY, WA 98003
Pharmacist
301 S 320TH ST
FEDERAL WAY, WA 98003

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 Elizabeth Shuckhart's NPI number?

The NPI number for Elizabeth Shuckhart is 1780968883. It was assigned to this individual provider in the NPPES registry on October 6, 2011.

Where is Elizabeth Shuckhart located?

Elizabeth Shuckhart practices at 301 S 320th St, Federal Way, WA 98003. The listed phone number is (253) 874-7000.

What is Elizabeth Shuckhart's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Elizabeth Shuckhart enrolled in Medicare?

Yes. Elizabeth Shuckhart 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.

When was this NPI record last updated?

The NPPES record for Elizabeth Shuckhart was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.