SHANNON ADAM BOUSTEAD M.D.
NPI 1881883593
Family Medicine in Bellingham, WA
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
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Shannon Boustead reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bellingham, WA 98226
- Reassigned Medicare billing, Washington enrollment
- 525 clinicians in this Medicare group
Portland, OR 97204
- Reassigned Medicare billing, Ohio and Washington enrollments
- 162 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.
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.
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.
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.
BELLINGHAM, WA 98226
BELLINGHAM, WA 98226
BELLINGHAM, WA 98226
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 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.
Where is Shannon Boustead located?
Shannon Boustead practices at 4455 Cordata Pkwy, Bellingham, WA 98226. The listed phone number is (360) 671-3225.
What is Shannon Boustead's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shannon Boustead enrolled in Medicare?
Yes. Shannon Boustead 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 Shannon Boustead's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Boustead reassigns Medicare benefits to 2 organizations: Sea Mar Community Health Centers (Bellingham, WA) and Boulder Care Provider Group PA (Portland, OR). 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 Shannon Boustead's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Boustead accept?
Health plans from Ambetter Health, CareSource, Premera Blue Cross Blue Shield of Alaska, Priority Health and Providence Health Plan list Shannon Boustead 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.
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 4 months 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.
# Shannon Adam Boustead, M.D. · NPI 1881883593
Family Medicine physician in Bellingham, Washington. Individual provider, active in the CMS NPPES registry since October 18, 2007.
## Identity
- **NPI:** 1881883593 (Entity type: Individual)
- **Enumerated:** October 18, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** MD.MD.60099520 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4455 CORDATA PKWY, Bellingham, WA 98226-8037
- **Phone:** (360) 671-3225 · **Fax:** (360) 671-0000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Sea Mar Community Health Centers (NPI 1225185648, Bellingham, WA); Boulder Care Provider Group PA (NPI 1649838590, Portland, OR) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** June 11, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1881883593) · Data from the CMS NPPES public registry.