Active NPI
Shelby Vermeulen
- Physician Assistant
- Pasco, WA
National Provider Identifier
1720938541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA70094659
- Practice address
- 1608 Road 44
Pasco, WA 99301-2667 - Phone
- (509) 543-9280
- Fax
- (509) 545-6275
- NPI assigned
- Jan 31, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA70094659 | WA | Primary |
Addresses
Primary practice location
1608 Road 44
Pasco, WA 99301-2667
Mailing address
PO Box 190
Toppenish, WA 98948-0190
Phone (509) 865-2395
Other practice location 1
1608 Road 44
Pasco, WA 99301-2667
Phone (509) 543-9280
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1720 Presson PL
Yakima, WA 98903-2238
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA70094659 | WA | MD | Physician Assistant |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Yakima, WA
- NPI 1295788602
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1769817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1720938541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "TOPPENISH",
"state": "WA",
"postal_code": "989480190",
"telephone_number": "509-865-2395",
"fax_number": "509-865-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1608 ROAD 44",
"city": "PASCO",
"state": "WA",
"postal_code": "993012667",
"telephone_number": "509-543-9280",
"fax_number": "509-545-6275"
}
],
"practiceLocations": [
{
"address_1": "1608 Road 44",
"address_purpose": "LOCATION",
"city": "Pasco",
"state": "WA",
"postal_code": "993012667",
"country_code": "US",
"telephone_number": "509-543-9280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERMEULEN",
"first_name": "SHELBY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-31",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA70094659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasco, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.