Shannon Pendleton, NP - Medicare Nurse Practitioner in Enumclaw, WA

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Shannon Pendleton, NP is a medicare enrolled "Nurse Practitioner - Family" in Enumclaw, Washington. Her current practice location is 3021 Griffin Ave, Enumclaw, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 825-6511.

Shannon Pendleton is licensed to practice in Washington (license number AP 60565012) 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 1265866313.

Contact Information

Shannon Pendleton, NP
3021 Griffin Ave,
Enumclaw, WA 98022-2369
(360) 825-6511
(360) 825-6536

Map and Direction




Provider's Profile

Full NameShannon Pendleton
GenderFemale
SpecialityNurse Practitioner - Family
Location3021 Griffin Ave, Enumclaw, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265866313
  • Provider Enumeration Date: 08/26/2013
  • Last Update Date: 11/24/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7719296151
  • Enrollment ID: I20151026000591

Medical Identifiers

Medical identifiers for Shannon Pendleton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265866313NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN-1615 (Hawaii)Secondary
363LF0000XNurse Practitioner - Family AP 60565012 (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 Pendleton allows following entities to bill medicare on her behalf.
Entity NameFranciscan Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093165334
PECOS PAC ID: 0547173866
Enrollment ID: O20031111000789
Entity NameSeattle Children's Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003319500
PECOS PAC ID: 9032021050
Enrollment ID: O20031211000532

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 Pendleton 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 Pendleton, NP
3021 Griffin Ave,
Enumclaw, WA 98022-2369

Ph: (360) 825-6511		Shannon Pendleton, NP
3021 Griffin Ave,
Enumclaw, WA 98022-2369

Ph: (360) 825-6511

Reviews and Comments


Nurse Practitioner Nurses in Enumclaw, WA

Leslie Schear, ARNP CNM
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1818 Cole St, Enumclaw, WA 98022
Phone: 360-802-5760    Fax: 360-802-5799
Katie Etherington, CNM, WHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 853 Watson St N Ste 200, Enumclaw, WA 98022
Phone: 360-367-2970    
Mr. Eugene W. Partridge, PA-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3021 Griffin Ave, Suite 100, Enumclaw, WA 98022
Phone: 360-802-5010    Fax: 350-825-6536
Julie Ann Hoffman, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 3021 Griffin Ave, Enumclaw, WA 98022
Phone: 360-825-6511    Fax: 360-825-6536
Gina Lanore Gwerder, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 853 Watson St N, Enumclaw, WA 98022
Phone: 360-768-4045    
Ms. Ardith Louise Conway, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1112 Washington Ave, Enumclaw, WA 98022
Phone: 503-806-7148    

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.