Individual provider Active NPI

Paul A Shoemaker, ARNP

  • Family Nurse Practitioner
  • Kennewick, WA
National Provider Identifier
1053654913
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60896880 Issued in WA
Practice address
4804 W Clearwater Ave
Kennewick, WA 99336-2119
Phone
(509) 946-4611
NPI assigned
Mar 28, 2013
Last updated
Apr 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60896880 WA Primary
Registered Nurse 163W00000X RN60089738 WA

Addresses

Primary practice location

4804 W Clearwater Ave
Kennewick, WA 99336-2119

Mailing address

2935 Allen Rd
Sunnyside, WA 98944-8931
Phone (509) 837-0070

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pshoemaker1108086@wm.providencedirect.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190225002398 WA Practitioner - Nurse Practitioner 5496094146 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Derek S Weaver DO PLLCGroup PAC ID 8123322716, 7 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians
Kadlec Regional Medical CenterGroup PAC ID 9739098617, 402 clinicians

Practice addresses (Care Compare)

2935 Allen Rd
Sunnyside, WA 98944-8931
Phone (509) 837-0070

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

4804 W Clearwater Ave
Kennewick, WA 99336-2119
Phone (509) 942-2355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN60089738WAMDRegistered Nurse
AP60896880WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Jan 11, 2026 Accepting new patients
Multicare Health System CurrentSince Jan 11, 2026 Accepting new patients
Kadlec Regional Medical Center Current Accepting new patients
Derek S Weaver DO PLLC CurrentSince Oct 3, 2022 Accepting new patients
Prosser Public Hospital District of Benton County PastSince Oct 3, 2022 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

9040 W Clearwater Ave
Kennewick, WA 99336
Phone (509) 405-2813

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

2935 Allen Rd
Sunnyside, WA 98944
Phone (509) 837-0070

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11508/brand/1/csg/1/fhir/r4
  • Direct secure messaging: paul.shoemaker.1@11508.direct.athenahealth.com
  • Direct secure messaging: pshoemaker1108086@wm.providencedirect.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1053654913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2935 ALLEN RD",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989448931",
            "telephone_number": "509-837-0070",
            "fax_number": "509-837-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 W CLEARWATER AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993362119",
            "telephone_number": "509-946-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEMAKER",
        "first_name": "PAUL",
        "middle_name": "A",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-28",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60896880",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60089738",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pshoemaker1108086@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "4804 W Clearwater Ave",
            "city": "Kennewick",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993362119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.