Active NPI
Courtney A. Shick, PA-C
- Medical Physician Assistant
- Silverdale, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA60037605
- Practice address
- 9398 Ridgetop Blvd NW
Silverdale, WA 98383-8505 - Phone
- (360) 782-3200
- Fax
- (360) 782-3244
- NPI assigned
- Sep 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA60037605 | WA | Primary |
| Physician Assistant | 363A00000X | PA60037605 | WA |
Addresses
Primary practice location
9398 Ridgetop Blvd NW
Silverdale, WA 98383-8505
Mailing address
9398 Ridgetop Blvd NW
Silverdale, WA 98383-8505
Phone (360) 782-3200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2006814 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200
9398 Ridgetop Blvd NW
Silverdale, WA 98383-8505
Phone (360) 782-3200
Hospital & facility affiliations
- St Michael Medical Center
- Olympic Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60037605 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Providence Health & Services- Washington | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Physician Assistant | Past | Accepting new patients |
| Northwest Urology Clinic Inc | Past | Accepting new patients |
Locations
21822 76th Ave W
Edmonds, WA 98026
Phone (425) 670-8950
4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330
9398 Ridgetop Blvd NW
Silverdale, WA 98383
Phone (360) 782-3200
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
Interoperability endpoints
- courtney.shick@tdc.directbygreenway.com
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- General Practice Physician
- Everett, WA
- NPI 1124270715
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Internal Medicine Physician
- Silverdale, WA
- NPI 1710432612
-
- Internal Medicine Physician
- Monroe, WA
- NPI 1770734881
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
Physician Assistant
-
- Urology Physician
- Mount Vernon, WA
- NPI 1407841562
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1003066432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9398 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838505",
"telephone_number": "360-782-3200",
"fax_number": "360-782-3244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9398 RIDGETOP BLVD NW",
"city": "SILVERDALE",
"state": "WA",
"postal_code": "983838505",
"telephone_number": "360-782-3200",
"fax_number": "360-782-3244"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHICK",
"first_name": "COURTNEY",
"middle_name": "A.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-22",
"last_updated": "2022-09-21",
"certification_date": "2022-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA60037605",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60037605",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2006814",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverdale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.