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Active NPI 1396949855 Individual Practitioner Female Practitioner

Dr. Jeri Lou Shantz , EdD

Specialist • Bellevue, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jeri Shantz, EdD is a certified Specialist practicing in Bellevue, WA. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Shantz delivers high-quality medical care to the local community at 1300 114TH AVE SE.

Dr. Shantz accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include psychotherapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1300 114th Ave Se
Suite 102

Bellevue, WA 980046942

Telephone 4254542835
Fax 4254542315
Associated Practice Facility / Clinic
🏢 David Musnick, Md Facility NPI 1548460900

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Bellevue, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
37 Yrs +4.8 yrs vs City Avg
City Avg: 32.2 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
116 Specialists

Practicing in Bellevue, WA (2751 Statewide)

Telehealth Adoption Rate
1.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
14.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shantz (37 Years) 37 Yrs
Bellevue Specialty Average (32.2 Years) 32.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
207 16 $163.84 $140.68

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA 1349

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Linda Rohan , ARNP

Clinical Nurse Specialist - Psychiatric/Mental Health, Adult

NPI 1003826447

Advanced Registered Nurse Practitioner

NPI 1174662381

Doctor of Philosophy (Ph.D.), Licensed Psychologist

Shar Kunovsky , JD MS LMHC

Counselor - Mental Health

NPI 1245420231

JDMSLMHC

Susan Leeds , LLC, MSW

Social Worker - Clinical

NPI 1659579415

LLC, Master of Social Work

Amy Arensberg , MSW

Social Worker - Clinical

NPI 1881897585

Master of Social Work

Dr. Gretchen Carlson , MD

Psychiatry & Neurology - Psychiatry

NPI 1942319785

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 08, 2014

Registered at 1300 114TH AVE SE, SUITE 102, BELLEVUE, WA 980046942 (Tel: 4254542835)

📍
Updated Business Mailing Address December 08, 2014

Registered at 1300 114TH AVE SE, SUITE 102, BELLEVUE, WA 980046942 (Tel: 4254542835)

👤
Provider Name / Credentials Updated December 08, 2014

Recorded as JERI SHANTZ, ED.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2014

Specialist (License #1349 in WA)

🟢
Initial NPI Registration & Enumeration June 11, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396949855
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2007
Last Update: December 08, 2014
Sole Proprietor: Yes

Mailing Address

1300 114th Ave Se, Suite 102

Bellevue, WA 980046942

Phone: 4254542835

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.