WENJING SHI
NPI 1962820217
Pathology - Anatomic Pathology & Clinical Pathology in Modesto, CA

Active since April 03, 2014PECOS EnrolledAccepts Medicare Assignment
4301 N STAR WAY, MODESTO, CA 95356(209) 577-1200(209) 577-6517 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 29, 2021, Apr 7, 2021, Jul 1, 2020 (3 updates tracked since 2020).

About Wenjing Shi NPPES

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

WENJING SHI (NPI 1962820217) is an individual anatomic pathology & clinical pathology provider in Modesto, California, licensed in California (A144622) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1962820217
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameWENJING SHI
Location Address4301 N STAR WAYModesto, CA 95356-9262
Mailing Address1111 Amsterdam AveNew York, NY 10025-1716 · (212) 523-4330
Fax(209) 577-6517
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 3, 2014
Last NPPES UpdateNovember 29, 20213 updates tracked since enumeration
NPPES CertifiedApril 7, 2021
✔ NPI 1962820217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in CA · A144622
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
4301 N STAR WAY, Modesto, CA 95356

Secondary Practice Locations 2

Location 18700 Beverly Blvd # Sb-290West Hollywood, CA 90048-1804 · Phone (310) 423-6623
Location 21111 Amsterdam AveNew York, NY 10025-1716 · Phone (212) 523-4330

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

Wenjing Shi 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 ID4183047095
PECOS Enrollment IDI20200710002500
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Wenjing Shi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anatomic Pathology & Clinical Pathology
4301 N STAR WAY
Modesto, CA 95356
  • Reassigned Medicare billing, California enrollment
  • 77 clinicians in this Medicare group
Health Maintenance Organization
2103 E GONZALES RD
Oxnard, CA 93036
  • Reassigned Medicare billing, California enrollment
  • 13,921 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

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
28 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95356 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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.

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.

Pathology (Anatomic Pathology & Clinical Pathology)
4301 N STAR WAY
MODESTO, CA 95356
Specialist/Technologist, Pathology (Histology)
4301 N STAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 N STAR WAY
MODESTO, CA 95356
Specialist/Technologist, Pathology (Histology)
4301 N STAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 N STAR WAY
MODESTO, CA 95356
Emergency Medicine
4301 N STAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 N STAR WAY
MODESTO, CA 95356
Pathology (Anatomic Pathology & Clinical Pathology)
4301 N STAR WAY
MODESTO, CA 95356

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 Wenjing Shi's NPI number?

The NPI number for Wenjing Shi is 1962820217. It was assigned to this individual provider in the NPPES registry on April 3, 2014.

Where is Wenjing Shi located?

Wenjing Shi practices at 4301 N Star Way, Modesto, CA 95356. The listed phone number is (209) 577-1200.

What is Wenjing Shi's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Wenjing Shi enrolled in Medicare?

Yes. Wenjing Shi 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 Wenjing Shi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wenjing Shi reassigns Medicare benefits to 2 organizations: Yosemite Pathology Medical Group, Inc (Modesto, CA) and Southern California Permanente Medical Group (Oxnard, CA). 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 Wenjing Shi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wenjing Shi was last updated on November 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.