MR. RANDALL C DICKSON (PAC) – Medical Physician Assistant, NPI 1215960372

MR. RANDALL C DICKSON (PAC) is a healthcare provider. based in Renton, Washington. specializing in Medical Physician Assistant. They hold the professional credentials PAC. They hold a License No. PA10003610 (WA). The NPI Number for MR. RANDALL C DICKSON (PAC) is 1215960372

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
MR. RANDALL C DICKSON (PAC)
NPI
1215960372
Phone
(206) 630-1350
Address
2921 Naches Ave SW
Enumeration Date
9 July 2006
Last Update Date
30 March 2021

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2063263000
Graduation Year
1997 (29 years ago)
PAC ID
9436041464
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20040325001339

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

Provider Addresses for MR. RANDALL C DICKSON (PAC)

  • 2921 Naches Ave SW

    Renton, WA 980572617

    Phone: (206) 630-1350

    Type: Location

  • One Pacific Tower, 2000, 1st Avenue, Central Business District, Belltown, Seattle, King County, Washington, 98121, United States

    UNIT 1001

    SEATTLE, WA 981212165

    Phone: (206) 420-8115

    Type: Mailing

  • Cascade Learning Resource Center, 1001, North Broadway Avenue, Northwest Everett, Everett, Snohomish County, Washington, 98201, United States

    SUITE A11

    EVERETT, WA 98201

    Phone: (360) 658-4339

    Fax: (360) 658-9868

    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 98057)

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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: 9032022579View full group profile

Reviews

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Frequently asked questions

Can I cross-check MR. RANDALL C DICKSON (PAC) using NPI 1215960372?
NPI 1215960372 belongs to MR. RANDALL C DICKSON (PAC); compare other details if you need extra assurance.
Would MR. RANDALL C DICKSON (PAC) appear as active to a payer?
You can treat MR. RANDALL C DICKSON (PAC) as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for MR. RANDALL C DICKSON (PAC)?
At a glance, MR. RANDALL C DICKSON (PAC) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MR. RANDALL C DICKSON (PAC)?
Travel planning: use Renton, Washington as the reference point for MR. RANDALL C DICKSON (PAC), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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