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

Individual provider Medical Physician Assistant · NPI 1508384371

Shane Robert Egresi, PHYSICIANASSISTANT is a Physician Assistant in Kirkland, Washington. Qualified in 2017, 9 years ago. Practices with King County Public Hospital District No 2, a 585-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2017
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Practice location Address checks out

12040 NE 128th St
Kirkland, WA 98034-3013
Phone: (330) 429-2289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1508384371
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedAugust 31, 2017
Last updated in NPPESAugust 31, 2017
Mailing address2304 Meadow Village Dr, Columbus, OH 43235-4923

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice King County Public Hospital District No 2 — 585 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Kirkland