Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON ADAM BOUSTEAD M.D.
NPI 1881883593
Family Medicine in Bellingham, WA

Q: What is Shannon Boustead's NPI number?

The NPI number for Shannon Boustead is 1881883593. It was assigned to this individual provider in the NPPES registry on October 18, 2007.

Q: What is Shannon Boustead'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 Shannon Boustead was last updated on June 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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 October 18, 2007PECOS EnrolledAccepts Medicare Assignment

4455 CORDATA PKWY, BELLINGHAM, WA 98226(360) 671-3225(360) 671-0000 Get Directions Write a Review

NPPES record last updated: June 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shannon Adam Boustead M.d. NPPES

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

SHANNON ADAM BOUSTEAD M.D. (NPI 1881883593) is an individual family medicine provider in Bellingham, Washington, licensed in Washington (MD.MD.60099520) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1881883593

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameSHANNON ADAM BOUSTEADCredential: M.D.

Location Address4455 CORDATA PKWYBellingham, WA 98226-8037

Mailing AddressPo Box 34703Seattle, WA 98124-1703

Phone(360) 671-3225

Fax(360) 671-0000

Sole ProprietorYes

Medical School CMSOtherGraduated 2007

Enumeration DateOctober 18, 2007

Last NPPES UpdateJune 11, 2026

NPPES CertifiedJune 11, 2026

✔ NPI 1881883593 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 · MD.MD.60099520

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.

4455 CORDATA PKWY, Bellingham, WA 98226

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, 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

Shannon Adam Boustead M.d. 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 ID6204022213

PECOS Enrollment IDI20251212002760

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 98226 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers28 claims96 services$5.41 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier32 claims32 services$81.08 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$34.23 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LORA C SHERMAN MD

Family Medicine