Shannon Ellis, ARNP, AGACNP-BC - Medicare Nurse Practitioner in Everett, WA

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Shannon Ellis, ARNP, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Everett, Washington. Her current practice location is 2930 Maple St, Everett, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 261-1500.

Shannon Ellis is licensed to practice in Washington (license number AP60591042) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710359849.

Contact Information

Shannon Ellis, ARNP, AGACNP-BC
2930 Maple St,
Everett, WA 98201-3832
(425) 261-1500
Not Available

Map and Direction




Provider's Profile

Full NameShannon Ellis
GenderFemale
SpecialityNurse Practitioner - Acute Care
Location2930 Maple St, Everett, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710359849
  • Provider Enumeration Date: 10/28/2015
  • Last Update Date: 05/10/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2860799897
  • Enrollment ID: I20160318000722

Medical Identifiers

Medical identifiers for Shannon Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710359849NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care AP60591042 (Washington)Primary

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. Shannon Ellis allows following entities to bill medicare on her behalf.
Entity NameKing County Public Hospital District No 2
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801986070
PECOS PAC ID: 7618880097
Enrollment ID: O20031111000557
Entity NameKaiser Foundation Health Plan Of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454

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. Shannon Ellis 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
Shannon Ellis, ARNP, AGACNP-BC
2930 Maple St,
Everett, WA 98201-3832

Ph: (425) 261-1500		Shannon Ellis, ARNP, AGACNP-BC
2930 Maple St,
Everett, WA 98201-3832

Ph: (425) 261-1500

Reviews and Comments


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Mrs. Laura Ann Perez, ARNP, PMHNP
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Practice Location: 1728 W Marine View Dr Ste 109, Everett, WA 98201
Phone: 206-940-2301    Fax: 425-379-9587

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.