Individual provider Active NPI

Kristine L. Lineberry, M.D.

  • Diagnostic Radiology Physician
  • Silverdale, WA
National Provider Identifier
1528092632
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36861 Issued in WI
Practice address
1780 NW Myhre Rd Ste 1220
Silverdale, WA 98383-8676
Phone
(360) 813-6021
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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 C148554 CA
Diagnostic Radiology Physician 2085R0202X 36861 WI Primary

Addresses

Primary practice location

1780 NW Myhre Rd Ste 1220
Silverdale, WA 98383-8676

Mailing address

1780 NW Myhre Rd Ste 1220
Silverdale, WA 98383-8676
Phone (360) 813-6021

Other identifiers 2

IdentifierTypeStateIssuer
32622300MedicaidWI
P00455980OtherWIRR MEDICARE

Other names 1

  • Kristine S. Shackleton Former name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170106001218 WA Practitioner - Diagnostic Radiology 9537195870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympic Medical Imaging Consultants, PLLCGroup PAC ID 8820984552, 17 clinicians

Practice addresses (Care Compare)

2520 Cherry Ave
Bremerton, WA 98310-4229
Phone (360) 337-6500

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • St Joseph Medical Center Hospital, Tacoma, WA, CCN 500108
  • St Anthony Hospital Hospital, Gig Harbor, WA, CCN 500151
  • Virginia Mason Medical Center Hospital, Seattle, WA, CCN 500005
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072

Merit-based Incentive Payment System (MIPS)

Final score
78.76 of 100Reported as group
Quality
90
Improvement activities
40
Cost
47.53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C148554CAMDDiagnostic Radiology Physician
36861WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Medical Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Dec 1, 2016 Accepting new patients
Advanced Healthcare SC Past Accepting new patients

Locations

21 NE Romance Hill Rd
Belfair, WA 98528
Phone (360) 277-2950

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

2700 Clare Ave
Bremerton, WA 98310
Phone (360) 479-6555

450 S Kitsap Blvd
Ste 110
Port Orchard, WA 98366
Phone (360) 337-6500

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

1780 NW Myhre Rd
Ste 1220
Silverdale, WA 98383
Phone (360) 337-6500

2916 NW Bucklin Hill Rd
Silverdale, WA 98383
Phone (360) 813-6021

Organizations & group practices 2

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 7

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1528092632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 NW MYHRE RD STE 1220",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838676",
            "telephone_number": "360-813-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 NW MYHRE RD STE 1220",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838676",
            "telephone_number": "360-813-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINEBERRY",
        "first_name": "KRISTINE",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "C148554",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "36861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32622300",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00455980",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTINE",
            "last_name": "SHACKLETON",
            "middle_name": "S.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.