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Active NPI 1316175037 Individual Practitioner Female Practitioner

Shannon T. Thom , ARNP

Nurse Practitioner • Everett, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Shannon Thom, ARNP is a certified Nurse Practitioner practicing in Everett, WA. With approximately 17 years of clinical experience since completing medical education in 2009, Shannon Thom delivers high-quality medical care to the local community at 3927 RUCKER AVE.

Shannon Thom is affiliated with King County Public Hospital District No 2 and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

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

Practice Location & Contact Primary Location

Practice Address

3927 Rucker Ave

Everett, WA 982014833

Telephone 4252590966
Associated Practice Facility / Clinic
🏢 Optum Care Washington Pllc Facility NPI 1154318103

Medicare Profile & Education

Medical School

Other

Graduation Year

2009

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Everett, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
17 Yrs +6.1 yrs vs City Avg
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

✓ Offers Virtual Consultations

Medicare Pricing Discount
64.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thom (17 Years) 17 Yrs
Everett Specialty Average (10.9 Years) 10.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
63 59 $190.00 $77.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
61 53 $276.00 $107.69
81003 Automated urinalysis test
34 28 $6.00 $2.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
30 30 $273.00 $89.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
23 23 $418.00 $141.43

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WA AP60081915

(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.

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License OR 200941252RN

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WA AP60081915

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OR 200950065NP

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
213342 (OR)
Commercial Insurance / Payer ID Clinic Group Npi
1619915113

Hospital & Practice Group Affiliations

King County Public Hospital District No 2

8980 161st Ave Ne, Redmond, WA 980527554

Phone: 4258833333

Secondary Practice Locations

3823-172nd St Ne, Cascade Skagit Health Alliance

Arlington, WA 98223

Phone: 3606518365

Practice Associates & Co-Workers

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

40 Associated Practitioners
Douglas Nickels

Case Manager/Care Coordinator

NPI 1003126913
NPI 1003178567

Doctor of Medicine (M.D.)

Siyi Cao , NP

Nurse Practitioner - Family

NPI 1003539347

Nurse Practitioner

NPI 1003870361

Doctor of Medicine (M.D.)

Edward Bauer , CRNA

Nurse Anesthetist, Certified Registered

NPI 1023038486

Certified Registered Nurse Anesthetist

Dr. Andy Yen , MD

Internal Medicine

NPI 1043879133

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location July 24, 2018

Registered at 3927 RUCKER AVE, EVERETT, WA 982014833 (Tel: 4252590966)

NPI Profile Active February 09, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 09, 2012

Registered at 3823-172ND ST NE, CASCADE SKAGIT HEALTH ALLIANCE, ARLINGTON, WA 98223 (Tel: 3606518365)

📍
Updated Business Mailing Address February 09, 2012

Registered at 1400 KINCAID ST., SKAGIT REGIONAL CLINICS, MOUNT VERNON, WA 982744127 (Tel: 3604282500)

👤
Provider Name / Credentials Updated February 09, 2012

Recorded as SHANNON THOM, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 09, 2012

Registered Nurse (License #200941252RN in OR)

🟢
Initial NPI Registration & Enumeration July 01, 2009

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: 1316175037
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2009
Last Update: July 24, 2018
Sole Proprietor: No

Mailing Address

1400 Kincaid St., Skagit Regional Clinics

Mount Vernon, WA 982744127

Phone: 3604282500

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.