Unknown Individual – Medical Physician Assistant, NPI 1033215165

Unknown Individual is a healthcare provider. based in Bremerton, Washington. specializing in Medical Physician Assistant. They hold a License No. PA10003601 (WA). The NPI Number for Unknown Individual is 1033215165

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1033215165
Phone
(360) 478-2366
Address
PO BOX 960
Deactivation Date
30 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3604782366
Graduation Year
1997 (29 years ago)
PAC ID
3476636259
Group Practice PAC ID
9436044781
Professional Enrollment ID
I20080218000184
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 960

    BREMERTON, WA 98337

    Phone: (360) 478-2366

    Fax: (360) 373-2096

    Type: Mailing

  • Sixth Street Bremerton Clinic, 616, 6th Street, Bremerton, Kitsap County, Washington, 98337, United States

    BREMERTON, WA 98337

    Phone: (360) 377-3776

    Fax: (360) 479-0038

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98337)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436044781View full group profile
NameSpecialtyState
-WA
Physician AssistantWA
Mental Health CounselorWA
Nurse PractitionerWA
Internal MedicineCA
-WA
Physician AssistantCA
Physician AssistantWA
Nurse PractitionerWA
-WA

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1033215165; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Bremerton, Washington for Unknown Individual; expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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