Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolyn Jean Shoemaker, PA-C

Individual provider Medical Physician Assistant · NPI 1477856649

Carolyn Jean Shoemaker, PA-C is a Physician Assistant in Clarkston, Washington. Qualified in 2010, 16 years ago. Practices with Integrated Dermatology of Clarkston PLLC, a 6-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and Washington.

Years since qualifying
16
Licensed in
ID, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1433 5th St
Clarkston, WA 99403-2714
Phone: (509) 758-5141
Fax: (509) 758-5299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 719 S Main St, Moscow, ID 83843-3041 — (208) 883-1152
  • 412 S. Main St., Troy, ID 83871 — (208) 835-5550

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60620540 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-879 (ID)

Record details

NPI number1477856649
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 10, 2010
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Integrated Dermatology Of Clarkston Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

Other providers in Clarkston