PAUL A SURETTE – Physician Assistant, NPI 1306098124

PAUL A SURETTE is a healthcare provider. based in Tumwater, Washington. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA60041690 (WA). The NPI Number for PAUL A SURETTE is 1306098124

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
PAUL A SURETTE
NPI
1306098124
Phone
(360) 754-6367
Address
150 DENNIS ST SW
Enumeration Date
13 October 2008
Last Update Date
28 October 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2535976800
Graduation Year
2008 (18 years ago)
PAC ID
3678634748
Group Practice PAC ID
9032022579
Professional Enrollment ID
I20081208000350
Address ID
WA984441858TA9505XSTXX400

Contacts

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

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:17State licenses:1Other namesUpdated within 12 months

4,285 PHYSICIAN ASSISTANT in WA

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Provider Addresses for PAUL A SURETTE

  • 150, Dennis Street Southwest, Tumwater, Thurston County, Washington, 98501, United States

    TUMWATER, WA 985015459

    Phone: (360) 754-6367

    Fax: (360) 754-6429

    Type: Location

  • 700 LILLY RD NE

    OLYMPIA, WA 985065115

    Phone: (360) 923-7000

    Fax: (360) 923-7089

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-08

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
I20081208000350IPhysician 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 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 98501)

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Provider's Procedures

PAUL A SURETTE performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTWA81002Urinalysis, manual test1912

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 PAUL A SURETTE using NPI 1306098124?
NPI 1306098124 belongs to PAUL A SURETTE; compare other details if you need extra assurance.
Active or inactive — what applies to PAUL A SURETTE?
You should see PAUL A SURETTE as active in CMS-hosted NPPES data.
What expertise is attributed to PAUL A SURETTE?
PAUL A SURETTE's specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with PAUL A SURETTE?
Directory geography for PAUL A SURETTE centers on Tumwater, Washington.
Does PAUL A SURETTE accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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