Doctor profile · Federal record
Dr. Shelby Lidstrom
Physician Assistant · Physician Assistant · Monroe, WA
- NPI 1154722155
- Accepts Medicare
- MIPS 93.9 / 100 · 2023
- 19 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
19200 N Kelsey St
Monroe, WA 982721431
(360) 794-7994 - Additional location
-
1919 Lincoln Way Ste 315
Coeur D Alene, ID 838142527
(208) 625-6000
fax (208) 625-6001 - Mailing address
-
Po Box 3360
Portland, OR 972083360
Credentials & registration
- NPI registered
- September 2014 — 12 yrs on file
- Profile last updated
- July 24, 2025
- Year of graduation
- 2007 — 19 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State licenses (2)
- Washington #PA60463924 · Idaho #PA-2541
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154722155. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
40
Distinct HCPCS
2
Medicare allowed
$2,778
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 28 | 25 | $77 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 12 | 12 | $52 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 35. This provider delivers 1.1× the peer median.Frequently asked questions
What is Dr. Shelby Lidstrom's medical specialty?
Dr. Shelby Lidstrom practices Physician Assistant in Monroe, WA.
Where does Dr. Shelby Lidstrom practice?
Dr. Shelby Lidstrom practices at 19200 N Kelsey St, Monroe, WA 982721431. Office phone: 3607947994.
What is Dr. Shelby Lidstrom's NPI?
Dr. Shelby Lidstrom's National Provider Identifier (NPI) is 1154722155, issued by NPPES.
Does Dr. Shelby Lidstrom accept Medicare assignment?
Yes. Dr. Shelby Lidstrom accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Shelby Lidstrom commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.