Shelby Lidstrom
NPI 1154722155ActiveIndividual· Physician Assistant· Monroe, WA
Physician Assistant with Kootenai Health Inc, practicing in Monroe, Washington. Their prescriptions cost Medicare Part D more than their services did: $139,610 for 1,315 claims, against $14,708 paid for services in 2024. Lists Kootenai Health as a hospital affiliation.
Overview
| NPI | 1154722155 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Sep 9, 2014 |
| Last updated in NPPES | Jul 24, 2025 |
| Certified by provider | Jul 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA60463924 | WA |
| Physician Assistant | 363A00000X | PA-2541 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (ID) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 126 |
|---|---|
| Services billed | 330 across 17 procedure codes |
| Paid by Medicare | $14,708 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,315 · 2,529 30-day fills |
|---|---|
| Patients | 184 |
| Total drug cost | $139,610 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Kootenai Health IncOrofino, ID · 399 clinicians
Hospital affiliation
- Kootenai HealthCoeur D'Alene, ID
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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