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SHELLEY ANNE KEMMERER
NPI 1922456631
Physician Assistant in Kirkland, WA

Active since June 03, 2016Opted out of Medicare · through Oct 1, 2028
10415 NE 37TH CIR STE 3, KIRKLAND, WA 98033(206) 707-3490 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Shelley Anne Kemmerer NPPES

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

SHELLEY ANNE KEMMERER (NPI 1922456631) is an individual physician assistant in Kirkland, Washington, licensed in Washington (1147075) and active in the NPI registry since June 2016. She has opted out of Medicare through October 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922456631
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELLEY ANNE KEMMERER
Location Address10415 NE 37TH CIR STE 3Kirkland, WA 98033-7924
Mailing Address10415 Ne 37th Cir Ste 3Kirkland, WA 98033-7924 · (484) 619-0755
Phone(206) 707-3490
Sole ProprietorNo
Enumeration DateJune 3, 2016
Last NPPES UpdateAugust 7, 2026
NPPES CertifiedAugust 7, 2026
✔ NPI 1922456631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · 1147075
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.
10415 NE 37TH CIR STE 3, Kirkland, WA 98033
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Shelley Anne Kemmerer has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2026 through October 1, 2028.

Opt-Out Effective DateOctober 1, 2026
Opt-Out In Effect ThroughOctober 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98033 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WE OCCUPATIONAL THERAPY TO MOVE
Occupational Therapist
10415 NE 37TH CIR STE 3
KIRKLAND, WA 98033
King County (425) 736-0980
KAKAR HEALTH & WELLNESS LLC
Physical Therapist
10415 NE 37TH CIR STE 3
KIRKLAND, WA 98033
King County (636) 346-9374
KAITLYN KAKAR P.T.
Physical Therapist
10415 NE 37TH CIR STE 3
KIRKLAND, WA 98033
King County (646) 436-9374
WHITNEY EAND
Occupational Therapist
10415 NE 37TH CIR STE 3
KIRKLAND, WA 98033
King County (425) 202-5285

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 Shelley Kemmerer's NPI number?

The NPI number for Shelley Kemmerer is 1922456631. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Shelley Kemmerer located?

Shelley Kemmerer practices at 10415 NE 37th Cir Ste 3, Kirkland, WA 98033. The listed phone number is (206) 707-3490.

What is Shelley Kemmerer's specialty?

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

Is Shelley Kemmerer enrolled in Medicare?

No. Shelley Kemmerer has opted out of Medicare through October 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shelley Kemmerer was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.