LEISA S GARRETT (PA-C) – Physician Assistant, NPI 1104193242
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LEISA S GARRETT (PA-C)
1201 Pacific Ave Ste 600
Tacoma, WA 98402
Phone: (253) 203-3131
Fax: (253) 397-3530
Type: Location
1411 4th Ave
Seattle, WA 981012249
Phone: (253) 271-9720
Fax: (253) 212-3372
Type: Location
501 S 5TH AVE
YAKIMA, WA 989023550
Phone: (509) 853-1082
Fax: (509) 573-6275
Type: Mailing
102 E 2ND ST
NACHES, WA 989379743
Phone: (509) 653-2235
Fax: (509) 452-5224
Type: Location
1201 PACIFIC AVE STE 600
TACOMA, WA 984024384
Phone: (253) 203-3131
Fax: (253) 397-3530
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-07-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120815000517 | I | Physician Assistant | WA | TBD |
| I20210715003530 | I | Physician Assistant | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 98402)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Nurse Practitioner | WA | |
| Physician Assistant | AZ | |
| Physician Assistant | OR | |
| Nurse Practitioner | OH | |
| Physician Assistant | UT | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| - | WA | |
| Nurse Practitioner | CO |
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