Kathryn Marie Shine, FNP - Medicare Nurse Practitioner in Redmond, OR

Kathryn Marie Shine, FNP is a medicare enrolled "Nurse Practitioner - Family" in Redmond, Oregon. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Charles Health System Inc and her current practice location is 1541 Nw Canal Blvd, Redmond, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 706-5800.

Kathryn Marie Shine is licensed to practice in Oregon (license number 201607532NP-PP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1720522873.

Contact Information

Kathryn Marie Shine, FNP
1541 Nw Canal Blvd,
Redmond, OR 97756-1341
(541) 706-5800
(541) 706-5800

Map and Direction




Provider's Profile

Full NameKathryn Marie Shine
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1541 Nw Canal Blvd, Redmond, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathryn Marie Shine graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1720522873
  • Provider Enumeration Date: 12/08/2016
  • Last Update Date: 06/13/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1759662505
  • Enrollment ID: I20170510000753

Medical Identifiers

Medical identifiers for Kathryn Marie Shine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720522873NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 201607532NP-PP (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Charles Medical Center - BendBend, ORHospital
St Charles PrinevillePrineville, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Charles Health System Inc8729111513210

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathryn Marie Shine allows following entities to bill medicare on her behalf.
Entity NameSt Charles Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023331303
PECOS PAC ID: 8729111513
Enrollment ID: O20100730000227

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Marie Shine is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathryn Marie Shine, FNP
2800 Sw 257th Ave,
Troutdale, OR 97060-1803

Ph: (503) 667-7711
Kathryn Marie Shine, FNP
1541 Nw Canal Blvd,
Redmond, OR 97756-1341

Ph: (541) 706-5800

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.