Individual provider Active NPI

Peter Shelton, M.D.

  • Diagnostic Radiology Physician
  • Vancouver, WA
National Provider Identifier
1316309925
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
2018017520 Issued in MO
Practice address
400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone
(360) 514-2000
NPI assigned
Mar 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2018017520 MO Primary
Vascular & Interventional Radiology Physician 2085R0204X MD61228615 WA

Addresses

Primary practice location

400 NE Mother Joseph PL
Vancouver, WA 98664-3200

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, WA, OR3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211109003527 MO Practitioner - Diagnostic Radiology 9638464209 Reassigns benefits to 1 organization
I20220609000519 WA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9638464209 Reassigns benefits to 4 organizations
I20221202001989 OR Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9638464209 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Wake Forest University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians

Practice addresses (Care Compare)

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1800

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000

200 NE Mother Joseph PL
Suite 420
Vancouver, WA 98664-3203
Phone (360) 514-6161

2101 NE 139TH St
Suite 260
Vancouver, WA 98686-2311
Phone (360) 487-2870

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone (425) 563-1500

2217 NE 14TH Ave
Portland, OR 97212-4361
Phone (425) 563-1500

400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (425) 563-1500

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 491-9480

4212 Hartford St
Saint Louis, MO 63116-1906
Phone (425) 563-1500

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-3700

934 S Vacuna St
Portland, OR 97219-8565
Phone (425) 563-1500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Mar 3, 2026 Accepting new patients
Swedish Health Services CurrentSince Mar 5, 2022 Accepting new patients
Swedish Health Services CurrentSince Mar 5, 2022 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Nov 30, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 4, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 4, 2024 Accepting new patients

Locations

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

1025 153rd St SE
Ste 200
Mill Creek, WA 98012
Phone (425) 338-4000

18100 NE Union Hill Rd
Redmond, WA 98052
Phone (425) 498-2020

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

2101 NE 139th St
Ste 260
Vancouver, WA 98686
Phone (360) 487-2870

400 NE Mother Joseph Pl
Vancouver, WA 98664
Phone (360) 514-2000

Interoperability endpoints

  • Direct secure messaging: pshelton558804@direct.peacehealth.org

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.

Hospital & facility affiliations 8

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": "1458691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1316309925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NE MOTHER JOSEPH PL",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986643200",
            "telephone_number": "360-514-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "PETER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-23",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2018017520",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "WA",
            "license": "MD61228615",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.