MICHELLE TEPPER (PA-C) – Physician Assistant, NPI 1306971684
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MICHELLE TEPPER (PA-C)
8009 S 180TH ST
KENT, WA 980321042
Phone: (425) 656-4255
Fax: (425) 656-4003
Type: Mailing
400 S 43RD ST
RENTON, WA 980555714
Phone: (425) 656-4255
Fax: (425) 656-4003
Type: Location
915 Highland Blvd
Bozeman, MT 597156902
Phone: (406) 414-5000
Type: Location
400 S 43rd St
Renton, WA 980555714
Phone: (425) 656-4255
Fax: (425) 656-4003
Type: Location
1 EMBARCADERO CTR FL 19
SAN FRANCISCO, CA 941113628
Phone:
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: 2021-07-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060504000851 | I | Physician Assistant | WA | TBD |
| I20210720003695 | I | Physician Assistant | MT | TBD |
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.
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 98032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | WA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | WA | |
| Physician Assistant | WY | |
| - | WA | |
| Nurse Practitioner | WA | |
| Physician Assistant | WV | |
| Family Practice | VT | |
| - | WA |
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