TERRIANNA C. EMERSON (PA-C) – Surgical Physician Assistant, NPI 1235758103

TERRIANNA C. EMERSON (PA-C) is a healthcare provider. based in Renton, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA60195371 (WA). The NPI Number for TERRIANNA C. EMERSON (PA-C) is 1235758103

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
TERRIANNA C. EMERSON (PA-C)
NPI
1235758103
Phone
(206) 656-5060
Address
4011 TALBOT RD S STE 300
Enumeration Date
10 April 2020
Last Update Date
5 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2539441289
Graduation Year
2020 (6 years ago)
PAC ID
5092128983
Group Practice PAC ID
9032368220
Professional Enrollment ID
I20210114001142
Address ID
WA980038366FE35002SXXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for TERRIANNA C. EMERSON (PA-C)

  • 4011 TALBOT RD S STE 300

    RENTON, WA 980555791

    Phone: (206) 656-5060

    Fax: (206) 656-5047

    Type: Location

  • 435 N 5TH ST

    PHOENIX, AZ 850042157

    Phone:

    Type: Mailing

  • 24060 SE Kent Kangley Rd Ste D-100

    Maple Valley, WA 980386851

    Phone: (425) 358-7708

    Fax: (425) 656-5047

    Type: Location

  • 1620 Lake Tapps Pkwy SE Ste 115

    Auburn, WA 980928376

    Phone: (253) 246-2860

    Fax: (253) 246-2861

    Type: Location

  • 27005 168th Pl SE Ste 201

    Covington, WA 980424902

    Phone: (253) 630-3660

    Fax: (253) 631-1591

    Type: Location

  • 150 Andover Park W

    Tukwila, WA 981882801

    Phone: (425) 979-2663

    Fax: (425) 524-4447

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $97.

Total Amount is formed as General ($97) + Research ($0) + Ownership ($0) = $97.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($57).

Total Amount

$97

General + Research + Ownership

Payments

5

Total payment records

General Amount

$97

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

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: 2024-08-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210114001142IPhysician AssistantWATBD
I20240808000224IPhysician AssistantORTBD

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.

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

Insurance plans in this area (ZIP 98055)

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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: 9032368220View full group profile
NameSpecialtyState
Physician AssistantNJ
-WA
-WA
Interventional Pain Management, Pain ManagementWA
Physician AssistantNV
Nurse PractitionerWA

Reviews

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Frequently asked questions

What NPI should I save for TERRIANNA C. EMERSON (PA-C)?
Save NPI 1235758103 if you need a stable reference for TERRIANNA C. EMERSON (PA-C).
Is TERRIANNA C. EMERSON (PA-C) currently active in the NPI registry?
CMS-published data lists TERRIANNA C. EMERSON (PA-C) as an active registrant.
Does TERRIANNA C. EMERSON (PA-C) list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for TERRIANNA C. EMERSON (PA-C). Clinical services aligned with this taxonomy classification.
Where is TERRIANNA C. EMERSON (PA-C)'s primary listing?
We display Renton, Washington because that is what the record indicates for TERRIANNA C. EMERSON (PA-C).
How can I contact TERRIANNA C. EMERSON (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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