John Nelson Shirley, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP70106932 Issued in WA

Practice address

11417 124TH Ave NE Ste 100
Kirkland, WA 98033-4677

Phone

(800) 640-3451

Fax

(385) 287-1900

NPI assigned

Oct 2, 2017

Last updated

Sep 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: john.shirley.2@28696.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Duluth Regenerative and Joint Institute LLC

  dba Restore First Health

  • Rheumatology Physician
  • Johns Creek, GA
  • NPI 1609428325
  Medicare reassignment NPD
• Preferred Healthcare LLC

  • Wound Care Registered Nurse
  • Duluth, GA
  • NPI 1639884117
  Medicare reassignment NPD
• Prime Regen Decatur

  • Rheumatology Physician
  • Decatur, GA
  • NPI 1811668593
  Medicare reassignment NPD
• Restore First Health Marietta LLC

  • Family Medicine Physician
  • Marietta, GA
  • NPI 1487378071
  Medicare reassignment NPD
• Restore First Health Riverdale LLC

  • Rheumatology Physician
  • Riverdale, GA
  • NPI 1497439509
  Medicare reassignment NPD
• Sunnyside Community Hospital Association

  dba Astria Health Center

  • Rural Health Clinic/Center
  • Sunnyside, WA
  • NPI 1679521637
  Medicare reassignment
• Plaid Eagle Medical PLLC

  • Family Medicine Physician
  • Monroeville, PA
  • NPI 1588417117
  NPD
• Ageless Men's Health, LLC

  • Clinical Medical Laboratory
  • Memphis, TN
  • NPI 1003098997
  NPD (past)
• Ageless Mens Health

  • Medical Physician Assistant
  • Atlanta, GA
  • NPI 1518281864
  NPD (past)
• Heal Doctors Ihwa, P.C.

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1447917125
  NPD (past)

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

• Sunnyside Community Hospital Association

  dba Astria Sunnyside Hospital

  • Critical Access Hospital
  • Sunnyside, WA
  • NPI 1225033814
  Care Compare affiliation

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789603200000",
    "number": "1639689896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W GRANDVIEW AVE APT A31",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989441876",
            "telephone_number": "770-316-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11417 124TH AVE NE STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980334677",
            "telephone_number": "800-640-3451",
            "fax_number": "385-287-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25195 SW Parkway Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Wilsonville",
            "state": "OR",
            "postal_code": "970709689",
            "country_code": "US",
            "telephone_number": "800-640-3451",
            "fax_number": "385-287-1900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1016 Tacoma Ave",
            "address_purpose": "LOCATION",
            "city": "Sunnyside",
            "state": "WA",
            "postal_code": "989442263",
            "country_code": "US",
            "telephone_number": "509-837-1500",
            "fax_number": "509-837-4908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "JOHN",
        "middle_name": "NELSON",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-02",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "2017016476",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP70106932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heera Shin
• In Soo Shin, MD
• Carol Tami Shinbo, R.PH.
• Stanton Shinchi
• Karissa Walker Shiraishi
• Christina Shott
• Jennifer Carol Shoup, PAC
• William Bradford Shoup, MD
• Jaymi Dawn Shull
• Margo Shultes Von Schlageter, M D

• Family Nurse Practitioner in Kirkland, WA
• Providers in Kirkland, 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 Sep 17, 2026; 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.