Dina Victorovna Shepelyuk, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61191211 Issued in WA

Practice address

12728 19TH Ave SE Ste 300
Everett, WA 98208-6676

Phone

(425) 317-8025

Fax

(425) 317-9516

NPI assigned

Jul 13, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Western Washington Medical Group Inc PSGroup PAC ID 7517870314, 111 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Western Washington Medical Group, Inc PS

  dba WWMG Department of Psychiatry

  • Psychiatry Physician
  • Everett, WA
  • NPI 1396413803
  Medicare reassignment Care Compare group
• Edmonds Family Care, PLLC

  • Primary Care Clinic/Center
  • Lynnwood, WA
  • NPI 1184751638
  Medicare reassignment NPD
• Western Washington Medical Group, Inc PS

  dba Western Washington Medical Group Dept of Infectious Disease

  • Infectious Disease Physician
  • Everett, WA
  • NPI 1427816305
  NPD
• Western Washington Medical Group, Inc PS

  dba Snohomish Family Medicine

  • Family Medicine Physician
  • Snohomish, WA
  • NPI 1760886980
  NPD
• Western Washington Medical Group, Inc PS

  • Gastroenterology Physician
  • Everett, WA
  • NPI 1023065919
  NPD (past)

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1407428097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W MARINE VIEW DR STE 110",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012094",
            "telephone_number": "425-317-8025",
            "fax_number": "425-317-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12728 19TH AVE SE STE 300",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982086676",
            "telephone_number": "425-317-8025",
            "fax_number": "425-317-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPELYUK",
        "first_name": "DINA",
        "middle_name": "VICTOROVNA",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61191211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Rosemarie Shelton, ARNP
• Tina Shelton
• Emerisse Camille Shen, ARNP
• Michael S Shen, M.D.
• Elyssa Danae Shepard
• Kyle Christopher Shephard, M.D.
• Dominique Ann Shepherd
• Kymberly Ann Shepherd, COUNSELOR
• Steven P Shepherd, DO
• Frank M Sheridan, MD

• Family Nurse Practitioner in Everett, WA
• Providers in Everett, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.

Verify at the official NPI Registry.