NICOLE B. SHIN M.D.
NPI 1992115455
Obstetrics & Gynecology - Maternal & Fetal Medicine in Bellevue, WA

Active since May 05, 2014PECOS Enrolled
1110 112TH AVE NE STE 100, BELLEVUE, WA 98004(425) 688-8111 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 5, 2022, Jul 9, 2018 (2 updates tracked since 2018).

About Nicole B. Shin M.d. NPPES

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

NICOLE B. SHIN M.D. (NPI 1992115455) is an individual maternal & fetal medicine provider in Bellevue, Washington, licensed in Washington (61131483) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Honolulu.

NPPES Registry Identity

NPI1992115455
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameNICOLE B. SHINCredential: M.D.
Location Address1110 112TH AVE NE STE 100Bellevue, WA 98004-4509
Mailing Address1110 112th Ave Ne Ste 100Bellevue, WA 98004-4509 · (425) 688-8111
Sole ProprietorNo
Enumeration DateMay 5, 2014
Last NPPES UpdateMay 5, 20222 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
✔ NPI 1992115455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License✔ Licensed in WA · 61131483
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 19463 (HI)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MDR 6680 (HI)
1110 112TH AVE NE STE 100, Bellevue, WA 98004

Other Names 1

Former Name (1)Nicole B. Kurata M.d.

Secondary Practice Location 1

Location 11319 Punahou St Ste 824Honolulu, HI 96826 · Phone (808) 203-6500

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole B. Shin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Nicole Shin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Maternal & Fetal Medicine
1229 MADISON ST STE 750
Seattle, WA 98104
  • Reassigned Medicare billing, Washington enrollment
  • 129 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 98004 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
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 3

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

Genetic Counselor, MS
1110 112TH AVE NE STE 100
BELLEVUE, WA 98004
Obstetrics & Gynecology (Maternal & Fetal Medicine)
1110 112TH AVE NE STE 100
BELLEVUE, WA 98004
Nurse Practitioner (Family)
1110 112TH AVE NE STE 100
BELLEVUE, WA 98004

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 Nicole Shin's NPI number?

The NPI number for Nicole Shin is 1992115455. It was assigned to this individual provider in the NPPES registry on May 5, 2014. The provider is also known as Nicole B. Kurata M.D..

Where is Nicole Shin located?

Nicole Shin practices at 1110 112th Ave NE Ste 100, Bellevue, WA 98004. The listed phone number is (425) 688-8111.

What is Nicole Shin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Nicole Shin enrolled in Medicare?

Yes. Nicole Shin is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Shin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Shin reassigns Medicare benefits to Obstetrix Medical Group Of Washington Inc Ps (Seattle, WA). The 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 Nicole Shin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Shin accept?

Health plans from Ambetter Health, Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Nicole Shin 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 Nicole Shin was last updated on May 5, 2022. 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.