CHRISTINE THERESA DE CEJKA – Physician Assistant, NPI 1164980108

CHRISTINE THERESA DE CEJKA is a healthcare provider. based in Aberdeen, Washington. specializing in PHYSICIAN ASSISTANT. The NPI Number for CHRISTINE THERESA DE CEJKA is 1164980108

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINE THERESA DE CEJKA
NPI
1164980108
Phone
(360) 532-8330
Address
915 ANDERSON DR
Enumeration Date
8 March 2019
Last Update Date
9 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8882273312
Graduation Year
2019 (7 years ago)
PAC ID
3375876345
Group Practice PAC ID
6800128067
Professional Enrollment ID
I20190605003145
Address ID
WA993372484KE4008XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:7State licenses:0Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for CHRISTINE THERESA DE CEJKA

  • Grays Harbor Community Hospital, 915, Anderson Drive, Aberdeen, Grays Harbor County, Washington, 98520, United States

    ABERDEEN, WA 98520

    Phone: (360) 532-8330

    Type: Location

  • 2564 QUEENSGATE DR

    RICHLAND, WA 993529109

    Phone: (888) 227-3312

    Type: Mailing

  • 6703 W RIO GRANDE AVE

    KENNEWICK, WA 993362623

    Phone: (509) 460-5588

    Fax: (509) 783-5438

    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: 2019-06-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190605003145IPhysician AssistantWATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes159148$0
99214Established patient office or other outpatient visit, 30-39 minutes5651$0
99203New patient office or other outpatient visit, 30-44 minutes4141$0
81003Automated urinalysis test4038$0
71046X-ray of chest, 2 views1414$0
View full utilization report →

Insurance plans in this area (ZIP 98520)

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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: 6800128067View full group profile

Reviews

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Frequently asked questions

How do I look up CHRISTINE THERESA DE CEJKA by NPI?
Use NPI 1164980108 when you need to reference CHRISTINE THERESA DE CEJKA in forms, claims, or directories.
Is CHRISTINE THERESA DE CEJKA currently active in the NPI registry?
CMS-published data lists CHRISTINE THERESA DE CEJKA as an active registrant.
What kind of provider is CHRISTINE THERESA DE CEJKA?
The page reflects Physician Assistant for CHRISTINE THERESA DE CEJKA. Clinical services aligned with this taxonomy classification.
Where is CHRISTINE THERESA DE CEJKA's primary listing?
We display Aberdeen, Washington because that is what the record indicates for CHRISTINE THERESA DE CEJKA.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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