NPIMap

Individual provider Active NPI

Shane Jeremy Hamacher, MD

  • Otolaryngology Physician
  • Kansas City, KS
National Provider Identifier
1619460144
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
94-09516 Issued in KS
Practice address
3901 Rainbow Blvd # Ms 1060
Kansas City, KS 66160-8500
Phone
(913) 945-7483
NPI assigned
Jun 9, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD70018004 WA
Otolaryngology Physician 207Y00000X 94-09516 KS Primary

Addresses

Primary practice location

3901 Rainbow Blvd # Ms 1060
Kansas City, KS 66160-8500

Mailing address

3831 Piper St Ste S433
Anchorage, AK 99508-6900
Phone (079) 561-1421

Other practice location 1

217 W Cataldo Ave Fl 2
Spokane, WA 99201-2217
Phone (509) 624-2326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK, TX, CO, MT4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20230526000802 AK Practitioner - Otolaryngology 0143578419 Reassigns benefits to 1 organization
I20230726000067 TX Practitioner - Otolaryngology 0143578419 Reassigns benefits to 3 organizations
I20231130001734 CO Practitioner - Otolaryngology 0143578419
I20240513002968 MT Practitioner - Otolaryngology 0143578419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Univ of Central Florida, College of Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Sidney Health CenterGroup PAC ID 0749181535, shared by 6 NPIs, 57 clinicians
Billings ClinicGroup PAC ID 6002993516, 814 clinicians

Practice addresses (Care Compare)

214 14TH Ave SW
Sidney, MT 59270-3521
Phone (406) 488-2112

3801 University Lake Dr
Anchorage, AK 99508-4658
Phone (907) 563-2662

801 N 29TH St
Billings, MT 59101-0905
Phone (406) 238-2500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD70018004WAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tanana Chiefs Conference CurrentSince Jun 26, 2025 Accepting new patients
Billings Clinic Current Accepting new patients
Providence Health & Services Washington CurrentSince Aug 1, 2025 Accepting new patients
Billings Clinic CurrentSince Apr 30, 2024 Accepting new patients
Arctic Slope Native Association LTD Current Accepting new patients
Providence Health & Services Washington CurrentSince Aug 1, 2025 Accepting new patients
Tanana Chiefs Conference CurrentSince Jun 26, 2025 Accepting new patients
Alaska Native Tribal Health Consortium CurrentSince Jul 3, 2023 Accepting new patients
Billings Clinic CurrentSince Apr 30, 2024 Accepting new patients
Ear, Nose and Throat Specialists Alaska, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Billings Clinic Past Accepting new patients

Locations

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

3831 Piper St
Ste S433
Anchorage, AK 99508
Phone (907) 561-1421

3801 University Lake Dr
Anchorage, AK 99508
Phone (907) 563-8876

801 N 29th St
Billings, MT 59101
Phone (406) 238-2210

2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290

214 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

216 14th Ave SW
Sidney, MT 59270
Phone (406) 488-2100

1200 E Columbia Ave
Colville, WA 99114
Phone (509) 684-3701

217 W Cataldo Ave
Fl 2
Spokane, WA 99201
Phone (509) 624-2326

Interoperability endpoints

  • Direct secure messaging: shane.hamacher.1@15989.direct.athenahealth.com
  • Direct secure messaging: shamacher233947@direct.saint-lukes.org
  • Direct secure messaging: shamacher2980499@wm.providencedirect.org
  • Direct secure messaging: sjhamacher@direct.anthc.org

Organizations & group practices 12

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 22

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

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1619460144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 PIPER ST STE S433",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995086900",
            "telephone_number": "079-561-1421",
            "fax_number": "907-561-0327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 RAINBOW BLVD # MS 1060",
            "city": "KANSAS CITY",
            "state": "KS",
            "postal_code": "661608500",
            "telephone_number": "913-945-7483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "217 W Cataldo Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992012217",
            "country_code": "US",
            "telephone_number": "509-624-2326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMACHER",
        "first_name": "SHANE",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-09",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD70018004",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KS",
            "license": "94-09516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, KS

Sources for this page

Verify at the official NPI Registry.