Shelby Lidstrom
Physician Assistant • Monroe, WA
Professional Overview & Biography Verified Profile Summary
Shelby Lidstrom is a certified Physician Assistant practicing in Monroe, WA. With approximately 19 years of clinical experience since completing medical education in 2007, Shelby Lidstrom delivers high-quality medical care to the local community at 19200 N KELSEY ST.
Shelby Lidstrom is affiliated with Kootenai Health Inc and accepts Medicare assignment.
Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
19200 N Kelsey St
Monroe, WA 982721431
Medicare Profile & Education
Other
2007
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Physician Assistant in Monroe, WA
Practicing in Monroe, WA (3774 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
102 | 63 | $173.00 | $76.07 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
80 | 58 | $112.00 | $51.61 |
|
G2211
Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
|
49 | 42 | $27.00 | $12.98 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
25 | 25 | $232.00 | $101.53 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
19 | 19 | $180.00 | $64.17 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
17 | 17 | $291.00 | $104.23 |
Medical Specialties & State Licenses
CMS Verified: 2025-07-24NUCC Taxonomy Code: 363A00000X
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.
NUCC Taxonomy Code: 363A00000X
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
Kootenai Health Inc
1919 Lincoln Way, Coeur D Alene, ID 838142527
Kootenai Health Inc
1055 Riverside Ave, Orofino, ID 835449029
Phone: 2084765777
Secondary Practice Locations
1919 Lincoln Way Ste 315
Coeur D Alene, ID 838142527
Phone: 2086256000
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physician Assistant
Physician Assistant (Certified)
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Pharmacist
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Physician Assistant (License #PA-2541 in ID)
NPI status registered as active in NPPES database
Registered at 19200 N KELSEY ST, MONROE, WA 982721431 (Tel: 3607947994)
Registered at PO BOX 3360, PORTLAND, OR 972083360 (Tel: 8663662983)
Recorded as SHELBY LIDSTROM
Physician Assistant (License #PA60463924 in WA)
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
Mailing Address
Po Box 3360
Portland, OR 972083360
Phone: 8663662983
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