PHILLIP LUTHER SHEALY ARNP, FNP
NPI 1811394935
Nurse Practitioner - Family in Renton, WA
About Phillip Luther Shealy Arnp, Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP LUTHER SHEALY ARNP, FNP (NPI 1811394935) is an individual family provider in Renton, Washington, licensed in Washington (AP60508185) and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS, is affiliated with Harrison Medical Center, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Phillip Luther Shealy Arnp, 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.
Medicare Billing Reassignments
3Medicare enrollment records show Phillip Shealy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sequim, WA 98382
- Reassigned Medicare billing, Washington enrollment
- 38 clinicians in this Medicare group
Omak, WA 98841
- Reassigned Medicare billing, Texas enrollment
- 21 clinicians in this Medicare group
Nespelem, WA 99155
- Reassigned Medicare billing, Texas enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harrison Medical Center
Acute Care Hospitals · Bremerton, WAOlympic Medical Center
Acute Care Hospitals · Port Angeles, WAJefferson Healthcare
Critical Access Hospitals · Port Townsend, WAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98057 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RENTON, WA 98057
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 Phillip Shealy's NPI number?
The NPI number for Phillip Shealy is 1811394935. It was assigned to this individual provider in the NPPES registry on December 4, 2014.
Where is Phillip Shealy located?
Phillip Shealy practices at 801 SW 16th St. Ste. 121, Renton, WA 98057. The listed phone number is (206) 805-8885.
What is Phillip Shealy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Phillip Shealy enrolled in Medicare?
Yes. Phillip Shealy 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.
Which organizations bill Medicare for Phillip Shealy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Shealy reassigns Medicare benefits to 3 organizations: Jamestown S'klallam Tribe (Sequim, WA), Omak Tribal Health Clinic (Omak, WA) and Dhhs Ihs Colville Service Unit (Nespelem, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Phillip Shealy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phillip Shealy accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Phillip Shealy 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 Phillip Shealy affiliated with any hospitals?
According to CMS data, Phillip Shealy is affiliated with Harrison Medical Center, Olympic Medical Center and Jefferson Healthcare.
When was this NPI record last updated?
The NPPES record for Phillip Shealy was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Phillip Luther Shealy, ARNP, FNP · NPI 1811394935
Family physician in Renton, Washington. Individual provider, active in the CMS NPPES registry since December 4, 2014.
## Identity
- **NPI:** 1811394935 (Entity type: Individual)
- **Enumerated:** December 4, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP60508185 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 801 SW 16TH ST., STE. 121, Renton, WA 98057-2628
- **Phone:** (206) 805-8885 · **Fax:** (206) 805-8886
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Jamestown S'klallam Tribe (NPI 1023195161, Sequim, WA); Omak Tribal Health Clinic (NPI 1639210370, Omak, WA); Dhhs Ihs Colville Service Unit (NPI 1811091911, Nespelem, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** March 22, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1811394935) · Data from the CMS NPPES public registry.