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Active NPI 1235315706 Individual Practitioner Male Practitioner

David B Shanholtzer , NP

Nurse Practitioner • Everett, WA

Professional Overview & Biography Verified Profile Summary

David Shanholtzer, NP is a registered healthcare professional specializing in Nurse Practitioner in Everett, WA. Practice services are available at 12800 BOTHELL EVERETT HWY under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

12800 Bothell Everett Hwy

Everett, WA 98208

Telephone 4253165150
Fax 4253165153
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.9 Yrs
State Avg: 11.0 Yrs
Regional Practice Density
120 Specialists

Practicing in Everett, WA (2339 Statewide)

Telehealth Adoption Rate
20.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $260.00 $93.68

Medical Specialties & State Licenses

CMS Verified: 2021-03-24
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP60538059

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1235315706 (VA)
Commercial Insurance / Payer ID Optima/sentara Health
1235315706 (VA)
Commercial Insurance / Payer ID Tricare/healthnet
1235315706 (VA)

Secondary Practice Locations

1250 S Clearview Ave, Suite 100

Mesa, AZ 852093378

Phone: 4809989108

1250 S Clearview Ave, Suite 100

Mesa, AZ 852093378

Phone: 4809989108

Practice Associates & Co-Workers

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

22 Associated Practitioners
Theresa Skurnik , ARNP

Nurse Practitioner

NPI 1053402248

Advanced Registered Nurse Practitioner

Gary Montgomery , PA-C

Physician Assistant

NPI 1104299601

Physician Assistant (Certified)

Dr. David Erickson , MD

Internal Medicine

NPI 1114028180

Doctor of Medicine (M.D.)

NPI 1134106867

Doctor of Medicine (M.D.)

Michelle Lydston , PA-C

Physician Assistant

NPI 1194746222

Physician Assistant (Certified)

Dr. Songyan Mao , MD

Family Medicine

NPI 1235160474

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location February 13, 2019

Registered at 12800 BOTHELL EVERETT HWY, EVERETT, WA 98208 (Tel: 4253165150)

📍
Updated Business Mailing Address February 13, 2019

Registered at PO BOX 3360, PORTLAND, OR 972083360 (Tel: 8667472455)

NPI Profile Active August 27, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2015

Registered at 1250 S CLEARVIEW AVE, SUITE 100, MESA, AZ 852093378 (Tel: 4809989108)

📍
Updated Business Mailing Address August 27, 2015

Registered at 2511 M AVE STE B, ANACORTES, WA 982212590 (Tel: 3602994211)

👤
Provider Name / Credentials Updated August 27, 2015

Recorded as DAVID SHANHOLTZER, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2015

Nurse Practitioner (License #AP60538059 in WA)

🟢
Initial NPI Registration & Enumeration January 15, 2008

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: 1235315706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2008
Last Update: March 24, 2021
Sole Proprietor: No

Mailing Address

Po Box 3360

Portland, OR 972083360

Phone: 8667472455

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.