Shine Pediatrics, PLLC
NPI 1821851239ActiveOrganization· Nurse Practitioner, Pediatrics· Bellevue, WA
Nurse Practitioner, Pediatrics in Bellevue, Washington, registered in NPPES in January 2024. The authorized official on file is Staci Swan, ARNP, Co-Owner, Arnp. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1821851239 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2024 |
| Last updated in NPPES | Aug 7, 2024 |
| Certified by provider | Aug 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | — | — |
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 Part B Supplier - Clinic/Group Practice (WA) |
|---|
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