NPIMap

Individual provider Active NPI

James Levi Shearer, PA-C

  • Physician Assistant
  • Tacoma, WA
National Provider Identifier
1235420753
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60629545 Issued in WA
Practice address
9040 A Jackson Ave
Tacoma, WA 98431-4603
Phone
(253) 967-6702
NPI assigned
May 2, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA203640 OR
Physician Assistant 363A00000X PA60629545 WA Primary

Addresses

Primary practice location

9040 A Jackson Ave
Tacoma, WA 98431-4603

Mailing address

2662 Stryker Ave Apt B
Joint Base Lewis McChord, WA 98433-1023
Phone (253) 968-1068

Other practice location 1

1650 Cochrane Cir
Fort Carson, CO 80913-4603
Phone (719) 503-2790

Other practice location 2

186 W Ellendale Ave
Dallas, OR 97338-1408
Phone (971) 900-4984

Other practice location 3

1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

Other identifiers 1

IdentifierTypeStateIssuer
PA60629545OtherWAEMERGENCY MEDICINE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jshearer267432@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180424002184 WA Practitioner - Physician Assistant 7012270176 Reassigns benefits to 2 organizations
I20210614002922 OR Practitioner - Physician Assistant 7012270176 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icco LLCGroup PAC ID 1355406729, 133 clinicians

Practice addresses (Care Compare)

186 W Ellendale Ave
Dallas, OR 97338-1408
Phone (541) 640-7625

2920 Commercial St SE
Salem, OR 97302-4552
Phone (971) 301-4919

598 E 13TH Ave
Eugene, OR 97401-4783
Phone (541) 636-3473

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA60629545WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Santiam Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Albany General Hospital CurrentSince Aug 15, 2023 Accepting new patients
Albany General Hospital CurrentSince Aug 15, 2023 Accepting new patients
Santiam Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Icco, LLC CurrentSince Dec 19, 2022 Accepting new patients
Icco, LLC Past Accepting new patients

Locations

705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850

1046 6th Ave SW
Albany, OR 97321
Phone (541) 812-4000

186 W Ellendale Ave
Dallas, OR 97338
Phone (971) 900-4984

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

1755 SW Baker St
McMinnville, OR 97128
Phone (971) 900-4522

1375 N 10th Ave
Ste B
Stayton, OR 97383
Phone (503) 769-7546

Interoperability endpoints

  • Direct secure messaging: jshearer397373@direct.salemhealth.org
  • Direct secure messaging: jshearer223720@direct.multicare.org
  • Direct secure messaging: jshearer267432@samhealth.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1304294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1235420753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 STRYKER AVE APT B",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984331023",
            "telephone_number": "253-968-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 A JACKSON AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984314603",
            "telephone_number": "253-967-6702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 Cochrane Cir",
            "address_purpose": "LOCATION",
            "city": "Fort Carson",
            "state": "CO",
            "postal_code": "809134603",
            "country_code": "US",
            "telephone_number": "719-503-2790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "186 W Ellendale Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "OR",
            "postal_code": "973381408",
            "country_code": "US",
            "telephone_number": "971-900-4984",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1046 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211916",
            "country_code": "US",
            "telephone_number": "541-812-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEARER",
        "first_name": "JAMES",
        "middle_name": "LEVI",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-02",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA203640",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60629545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMERGENCY MEDICINE",
            "identifier": "PA60629545",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshearer267432@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1046 6th Ave SW",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.