Shonali Rayneeka Prasad, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Renton, Washington. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Valley Medical Group-renton and her current practice location is
3901 Ne 4th St Ste 105, Renton, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 690-3410.
Shonali Rayneeka Prasad is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336961424.
Provider's Profile
| Full Name | Shonali Rayneeka Prasad |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 3901 Ne 4th St Ste 105, Renton, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shonali Rayneeka Prasad graduated from nursing school in 2025
NPI Data:
- NPI Number: 1336961424
- Provider Enumeration Date: 10/29/2024
- Last Update Date: 05/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 5597232710
- Enrollment ID: I20260424002347
Medical Identifiers
Medical identifiers for Shonali Rayneeka Prasad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336961424 | NPI | - | NPPES |
| 20175152 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP2300X | Nurse Practitioner - Primary Care | AP70094616 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Valley Medical Group-renton | 4183753965 | 435 |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shonali Rayneeka Prasad is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Shonali Rayneeka Prasad,
3901 Ne 4th St Ste 105,
Renton, WA 98056-4100
Ph: (425) 690-3410 | Shonali Rayneeka Prasad,
3901 Ne 4th St Ste 105,
Renton, WA 98056-4100
Ph: (425) 690-3410 |
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