Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477856649 Individual Practitioner Female Practitioner

Carolyn Jean Shoemaker , PA-C

Physician Assistant • Clarkston, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carolyn Shoemaker, PA-C is a certified Physician Assistant practicing in Clarkston, WA. With approximately 16 years of clinical experience since completing medical education in 2010, Carolyn Shoemaker delivers high-quality medical care to the local community at 1433 5TH ST.

Carolyn Shoemaker maintains professional affiliations with Gritman Medical Center Inc, Integrated Dermatology Of Clarkston Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, urinalysis, manual test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1433 5th St

Clarkston, WA 994032714

Telephone 5097585141
Fax 5097585299
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Clarkston, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
16 Yrs -3.0 yrs vs City Avg
City Avg: 19.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
4 Specialists

Practicing in Clarkston, WA (3774 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
51.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shoemaker (16 Years) 16 Yrs
Clarkston Specialty Average (19.0 Years) 19.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes
189 112 $161.00 $70.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
163 102 $234.00 $100.25
36415 Insertion of needle into vein for collection of blood sample
91 67 $15.00 $8.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
39 36 $97.00 $43.24
81002 Urinalysis, manual test
26 23 $8.00 $3.41
G0008 Administration of influenza virus vaccine
22 22 $40.00 $24.27
90662 Influenza vaccine split virus, preservative free
16 16 $65.00 $63.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
14 13 $315.00 $140.48
69209 Removal of impacted ear wax by washing
13 13 $30.00 $14.23

Medical Specialties & State Licenses

CMS Verified: 2026-07-31
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60620540

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License ID PA-879

Definition to come...

Hospital & Practice Group Affiliations

Gritman Medical Center Inc

Po Box, Moscow, ID 83843

Gritman Medical Center Inc

2400 W A St, Moscow, ID 838434902

Phone: 2088831177

Gritman Medical Center Inc

719 S Main St, Moscow, ID 838433041

Phone: 2088836779

Gritman Medical Center Inc

Po Box, Moscow, ID 83843

Gritman Medical Center Inc

700 S Main St, Moscow, ID 838433056

Phone: 2088836236

Gritman Medical Center Inc

803 S Main St, Moscow, ID 838433574

Phone: 2088831846

Integrated Dermatology Of Clarkston Pllc

1433 5th St, Clarkston, WA 994032714

Phone: 5097585141

Integrated Dermatology Of Clarkston Pllc

1250 Se Bishop Blvd, Pullman, WA 991635449

Phone: 5097585141

Gritman Medical Center Inc

2500 W A St, Moscow, ID 838436000

Phone: 2088820540

Gritman Medical Center Inc

623 S Main St, Moscow, ID 838432983

Phone: 2088822011

Gritman Medical Center Inc

2301 W A St, Moscow, ID 838434038

Phone: 2088831135

Gritman Medical Center Inc

700 S Main St, Moscow, ID 838433056

Gritman Medical Center Inc

803 S Main St, Moscow, ID 838432695

Phone: 2088836700

Secondary Practice Locations

412 S. Main St.

Troy, ID 83871

Phone: 2088355550

719 S Main St

Moscow, ID 838433041

Phone: 2088831152

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1053313411

Doctor of Medicine (M.D.)

Jennifer Nicholas , FNP

Nurse Practitioner

NPI 1083978837

Family Nurse Practitioner

Jacob Blazzard , PA-C

Physician Assistant

NPI 1326125485

Physician Assistant (Certified)

NPI 1841269248

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Business Mailing Address July 31, 2026

Registered at 4700 EXCHANGE CT STE 110, BOCA RATON, FL 334314450 (Tel: 5619480291)

📍
Updated Business Mailing Address April 09, 2025

Registered at 1433 5TH ST, CLARKSTON, WA 994032714 (Tel: 5097585141)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2025

Physician Assistant (License #PA-879 in ID)

📍
Updated Practice Location February 24, 2025

Registered at 1433 5TH ST, CLARKSTON, WA 994032714 (Tel: 5097585141)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2025

Physician Assistant (License #PA60620540 in WA)

📍
Updated Practice Location October 25, 2019

Registered at 719 S MAIN ST, MOSCOW, ID 838433041 (Tel: 2088831152)

📍
Updated Business Mailing Address October 25, 2019

Registered at PO BOX 8007, MOSCOW, ID 838430507 (Tel: 2088824511)

📍
Updated Practice Location May 17, 2018

Registered at 1129 SE WASHINGTON ST, PULLMAN, WA 99164 (Tel: 5093353575)

📍
Updated Business Mailing Address May 17, 2018

Registered at 1129 SE WASHINGTON, PULLMAN, WA 991640001

NPI Profile Active September 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location September 13, 2012

Registered at 412 SOUTH MAIN ST., TROY, ID 83871 (Tel: 2088355550)

📍
Updated Business Mailing Address September 13, 2012

Registered at 700 S MAIN ST, MOSCOW, ID 838433056

👤
Provider Name / Credentials Updated September 13, 2012

Recorded as CAROLYN SHOEMAKER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2012

Physician Assistant (License #PA-879 in ID)

🟢
Initial NPI Registration & Enumeration December 10, 2010

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: 1477856649
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 10, 2010
Last Update: July 31, 2026
Sole Proprietor: No

Mailing Address

4700 Exchange Ct Ste 110

Boca Raton, FL 334314450

Phone: 5619480291

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.