Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1376172775 Individual Practitioner Male Practitioner

Kyle Shafer

Physician Assistant • Ilwaco, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kyle Shafer is a certified Physician Assistant practicing in Ilwaco, WA. With approximately 6 years of clinical experience since completing medical education in 2020, Kyle Shafer delivers high-quality medical care to the local community at 176 1ST AVE N.

Kyle Shafer is affiliated with Public Hospital District 3 Of Pacific County and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

176 1st Ave N

Ilwaco, WA 986249137

Telephone 3606423747
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2020

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ilwaco, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
6 Yrs -6.0 yrs vs City Avg
City Avg: 12.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
3 Specialists

Practicing in Ilwaco, WA (3774 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shafer (6 Years) 6 Yrs
Ilwaco Specialty Average (12.0 Years) 12.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-07-22
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA 61076997

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.

Hospital & Practice Group Affiliations

Public Hospital District 3 Of Pacific County

1501 Bay Ave, Ocean Park, WA 986404203

Phone: 3606423181

Public Hospital District 3 Of Pacific County

21 N Valley Rd, Naselle, WA 986388536

Phone: 3604847161

Practice Associates & Co-Workers

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

12 Associated Practitioners
Tracy Ramos , PA-C, ATC

Physician Assistant - Medical

NPI 1043534142

Physician Assistant (Certified), Certified Athletic Trainer

Shirley Pryor , ARNP

Nurse Practitioner

NPI 1083601264

Advanced Registered Nurse Practitioner

Shannon Marsh , APRN

Clinical Nurse Specialist - Family Health

NPI 1114339389

Advanced Practice Registered Nurse

Nikki Hartley-Jonason , FNP

Nurse Practitioner - Family

NPI 1114351848

Family Nurse Practitioner

NPI 1487640884

Doctor of Medicine (M.D.)

NPI 1487690566

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 July 22, 2020

Registered at 176 1ST AVE N, ILWACO, WA 986249137 (Tel: 3606423747)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2020

Physician Assistant (License #61076997 in WA)

NPI Profile Active April 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2020

Registered at 35585 BELLA RIDGE LOOP, ASTORIA, OR 971036630 (Tel: 3609752979)

📍
Updated Business Mailing Address April 07, 2020

Registered at 35585 BELLA RIDGE LOOP, ASTORIA, OR 971036630

👤
Provider Name / Credentials Updated April 07, 2020

Recorded as KYLE SHAFER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 07, 2020

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: 1376172775
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 07, 2020
Last Update: July 22, 2020
Sole Proprietor: No

Mailing Address

35585 Bella Ridge Loop

Astoria, OR 971036630

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.