Kathy L Shannon, ARNP - Medicare Nurse Practitioner in Forks, WA

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Kathy L Shannon, ARNP is a medicare enrolled "Nurse Practitioner - Family" in Forks, Washington. She went to University Of California, Geffen School Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Olympic Healthcare Network and her current practice location is 590 Bogachiel Way, Forks, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 374-6271.

Kathy L Shannon is licensed to practice in Washington (license number AP30006382) 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 1689755811.

Contact Information

Kathy L Shannon, ARNP
590 Bogachiel Way,
Forks, WA 98331-9120
(360) 374-6271
(360) 374-9781

Map and Direction




Provider's Profile

Full NameKathy L Shannon
GenderFemale
SpecialityNurse Practitioner
Experience22 Years
Location590 Bogachiel Way, Forks, Washington
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:
  • Kathy L Shannon attended and graduated from University Of California, Geffen School Of Medicine in 2002
  NPI Data:
  • NPI Number: 1689755811
  • Provider Enumeration Date: 10/17/2006
  • Last Update Date: 03/12/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8022077551
  • Enrollment ID: I20041008000818

Medical Identifiers

Medical identifiers for Kathy L Shannon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689755811NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP30006382 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Olympic Medical Home HealthPort angeles, WAHome health agency
Olympic Medical CenterPort angeles, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Olympic Healthcare Network377989539624

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. Kathy L Shannon allows following entities to bill medicare on her behalf.
Entity NameJamestown S'klallam Tribe
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134181555
PECOS PAC ID: 2365349495
Enrollment ID: O20050507000057
Entity NameNorth Olympic Healthcare Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154702264
PECOS PAC ID: 3779895396
Enrollment ID: O20150827003168

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. Kathy L Shannon 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
Kathy L Shannon, ARNP
590 Bogachiel Way,
Forks, WA 98331-9120

Ph: (360) 374-6271		Kathy L Shannon, ARNP
590 Bogachiel Way,
Forks, WA 98331-9120

Ph: (360) 374-6271

Reviews and Comments


Nurse Practitioner Nurses in Forks, WA

Jean Carson Fletcher, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 140 C St, Forks, WA 98331
Phone: 360-374-3514    Fax: 360-374-5464
Ms. Laura Ann Kripinski, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 461 G St, Forks, WA 98331
Phone: 360-374-6224    Fax: 360-374-6039
Stephanie Marie Bechtold, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 390 Founders Way, Forks, WA 98331
Phone: 360-374-6998    

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.