MARY-COLLEEN D. ZUCCONI (P.A.) – Surgical Physician Assistant, NPI 1194969717

MARY-COLLEEN D. ZUCCONI (P.A.) is a healthcare provider. based in Vancouver, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA152984 (OR). The NPI Number for MARY-COLLEEN D. ZUCCONI (P.A.) is 1194969717

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MARY-COLLEEN D. ZUCCONI (P.A.)
NPI
1194969717
Phone
(360) 254-6161
Address
200 NE MOTHER JOSEPH PL STE 210
Enumeration Date
27 April 2009
Last Update Date
7 August 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5036352323
Graduation Year
2010 (16 years ago)
PAC ID
6800078452
Group Practice PAC ID
4183527153
Professional Enrollment ID
I20110303000501
Address ID
OR970352542LA4811XRDXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

4,308 PHYSICIAN ASSISTANT in WA

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Provider Addresses for MARY-COLLEEN D. ZUCCONI (P.A.)

  • Northeast Mother Joseph Place, Vancouver, Clark County, Washington, 98664, United States

    VANCOUVER, WA 986643295

    Phone: (360) 254-6161

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $406.

Total Amount is formed as General ($406) + Research ($0) + Ownership ($0) = $406.

Last reported payment date: 2023-11-17 • Largest payer in this snapshot: Stryker Corporation ($269).

Total Amount

$406

General + Research + Ownership

Payments

3

Total payment records

General Amount

$406

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-11-07

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110303000501IPhysician AssistantORTBD
I20131107001576IPhysician 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
73610X-ray of ankle, minimum of 3 views10665$0
99213Established patient office or other outpatient visit, 20-29 minutes10571$0
73630X-ray of foot, minimum of 3 views7247$0
73620X-ray of foot, 2 views5846$0
99203New patient office or other outpatient visit, 30-44 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 98664)

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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: 4183527153View full group profile
NameSpecialtyState
Physician AssistantWA
Physical Medicine And RehabilitationWA
Physical Therapist In Private PracticeWA
-WA
Physician AssistantWA
Physician AssistantWA
Physician AssistantMT
Orthopedic Surgery, Hand Surgery, Orthopedic SurgeryWA
Nurse PractitionerWA
Physician AssistantOR

Reviews

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Frequently asked questions

What federal number belongs to MARY-COLLEEN D. ZUCCONI (P.A.)?
The federal identifier for MARY-COLLEEN D. ZUCCONI (P.A.) is NPI 1194969717.
Is MARY-COLLEEN D. ZUCCONI (P.A.) active in the national directory?
MARY-COLLEEN D. ZUCCONI (P.A.)'s public NPI profile is in an active state.
Can you summarize MARY-COLLEEN D. ZUCCONI (P.A.)'s specialty in plain language?
Clinically, the directory lists MARY-COLLEEN D. ZUCCONI (P.A.) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for MARY-COLLEEN D. ZUCCONI (P.A.)?
The page summarizes Vancouver, Washington for MARY-COLLEEN D. ZUCCONI (P.A.); expand the address list for detail.
How can I contact MARY-COLLEEN D. ZUCCONI (P.A.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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