Lydia Ross

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD61571715 Issued in WA

Practice address

901 Mountain View Dr
Shelton, WA 98584-4401

Phone

(360) 426-1611

NPI assigned

Apr 13, 2022

Sex

Female

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 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

Specialty

Emergency Medicine

Education

Wayne State University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Public Hospital District No 1 of Mason CountyGroup PAC ID 0345139275, 60 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Public Hospital District No 1 of Mason County

  • Critical Access Hospital
  • Shelton, WA
  • NPI 1760568752
  Medicare reassignment Care Compare group NPD
• Public Hospital District No 1 of Mason County

  • Family Medicine Physician
  • Shelton, WA
  • NPI 1063658953
  NPD
• Public Hospital District No 1 of Mason County Wa

  • Clinic/Center
  • Shelton, WA
  • NPI 1316174774
  NPD

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

• Public Hospital District No 1 of Mason County

  • Clinic/Center
  • Shelton, WA
  • NPI 1700111986

  Hospital

  Care Compare affiliation
• Public Hospital District No 1 of Mason County

  • Critical Access Hospital
  • Shelton, WA
  • NPI 1760568752
  Care Compare affiliation
• Public Hospital District No 1 of Mason County Washington

  • Foot & Ankle Surgery Podiatrist
  • Shelton, WA
  • NPI 1437486248

  Hospital

  Care Compare affiliation
• Public Hospital District No 1 of Mason County Washington

  • Surgery Physician
  • Shelton, WA
  • NPI 1639339666

  Hospital

  Care Compare affiliation
• Public Hospital District No 1 of Mason County Washington

  • Ophthalmologic Surgery Clinic/Center
  • Shelton, WA
  • NPI 1922196609

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1851033369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1668",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985845001",
            "telephone_number": "604-279-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MOUNTAIN VIEW DR",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985844401",
            "telephone_number": "360-426-1611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Baylor Plz",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303411",
            "country_code": "US",
            "telephone_number": "713-873-3571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "LYDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-13",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD61571715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Catherine Romey, CAAR
• Kristina Marie Rose, LMP
• Jennifer Ann Rosendale, L.M.P.
• Alexandria Lennetta Ross, LICSW
• Christina Lynn Ross, LICSW
• Susan Rowson, MA
• Robin Rozene, LMT
• Carlos Armando Rubio-Reyes, M.D.
• Patricia L Ruby
• Hollie Ruger

• Emergency Medicine Physician in Shelton, WA
• Providers in Shelton, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.