1. Home
  2. Directory
  3. Washington
  4. Lakewood
  5. Physician Assistant
  6. NPI Profile

SHAE KANAKAOLE PA-C
NPI 1982110045
Physician Assistant - Surgical in Lakewood, WA

Active since December 27, 2017PECOS EnrolledAccepts Medicare Assignment
7308 BRIDGEPORT WAY W STE 201, LAKEWOOD, WA 98499(253) 582-7257(253) 582-1617 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2025, Nov 4, 2024, Aug 24, 2023 and 1 more (4 updates tracked since 2017).

About Shae Kanakaole Pa-c NPPES

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

SHAE KANAKAOLE PA-C (NPI 1982110045) is an individual surgical provider in Lakewood, Washington, licensed in Washington (PA61634578) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1982110045
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHAE KANAKAOLECredential: PA-C
Location Address7308 BRIDGEPORT WAY W STE 201Lakewood, WA 98499-8000
Mailing Address7308 Bridgeport Way W Ste 201Lakewood, WA 98499-8000 · (253) 582-7257 · Fax (253) 582-1617
Phone(253) 582-7257
Fax(253) 582-1617
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 27, 2017
Last NPPES UpdateMay 29, 20254 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1982110045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA61634578
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
7308 BRIDGEPORT WAY W STE 201, Lakewood, WA 98499
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12727 Hollycroft St Ste 410Gig Harbor, WA 98335-1369 · Phone (253) 358-4002 · Fax (253) 358-4015
Location 21724 W Union Ave Ste 100Tacoma, WA 98405-2099 · Phone (253) 830-5200 · Fax (253) 752-1160

Other Identifiers 1

Medicaid2326471WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Shae Kanakaole Pa-c 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 ID8820508765
PECOS Enrollment IDI20250610001173
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Clare Hospital

Acute Care Hospitals · Lakewood, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500021
Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County
Emergency services

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500108
Location1717 South J StreetTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 5

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

DR. ALBERT MAX D'HEURLE M.D.
Orthopaedic Surgery
7308 BRIDGEPORT WAY W STE 201
LAKEWOOD, WA 98499
Pierce County (253) 582-7257
MORGAN LYNN LAROQUE PA-C
Physician Assistant (Surgical)
7308 BRIDGEPORT WAY W STE 201
LAKEWOOD, WA 98499
Pierce County (253) 582-7257
ANGELA MICHELLE LANEY PA-C
Physician Assistant (Surgical)
7308 BRIDGEPORT WAY W STE 201
LAKEWOOD, WA 98499
Pierce County (253) 582-7257
PROLIANCE SURGEONS, INC., P.S.
Orthopaedic Surgery
7308 BRIDGEPORT WAY W STE 201
LAKEWOOD, WA 98499
Pierce County (253) 582-7257
DR. JOHN TIMOTHY HEFFERNAN M.D.
Orthopaedic Surgery
7308 BRIDGEPORT WAY W STE 201
LAKEWOOD, WA 98499
Pierce County (253) 582-7257

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 Shae Kanakaole's NPI number?

The NPI number for Shae Kanakaole is 1982110045. It was assigned to this individual provider in the NPPES registry on December 27, 2017.

Where is Shae Kanakaole located?

Shae Kanakaole practices at 7308 Bridgeport Way W Ste 201, Lakewood, WA 98499. The listed phone number is (253) 582-7257.

What is Shae Kanakaole's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shae Kanakaole enrolled in Medicare?

Yes. Shae Kanakaole 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.

What insurance does Shae Kanakaole accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Shae Kanakaole 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 Shae Kanakaole affiliated with any hospitals?

According to CMS data, Shae Kanakaole is affiliated with St Clare Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Shae Kanakaole was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.