PATRICIA L LIGHTFOOT (PA-C) – Physician Assistant, NPI 1528088952
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for PATRICIA L LIGHTFOOT (PA-C)
560, 116th Avenue Northeast, Midlakes, Bellevue, King County, Washington, 98004, United States
BELLEVUE, WA 980044631
Phone:
Type: Mailing
PO BOX 5127
EVERETT, WA 982065127
Phone: (425) 339-5421
Fax: (425) 317-3975
Type: Mailing
3927 RUCKER AVE
EVERETT, WA 982014833
Phone: (425) 339-5421
Fax: (425) 317-3975
Type: Location
PO BOX 421
LIBERTY LAKE, WA 990190421
Phone: (866) 747-2455
Type: Mailing
820 S MCCLELLAN ST STE 118
SPOKANE, WA 992042446
Phone: (509) 838-7100
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: 2004-03-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040319001446 | I | Physician Assistant | WA | 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 98004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | AK | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Physician Assistant | WA | |
| - | WA | |
| Internal Medicine | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| G A S T R O E N T E R O L O G Y | WA | |
| Nurse Practitioner | CO | |
| Certified Registered Nurse Anesthetist (Crna) | WA | |
| G A S T R O E N T E R O L O G Y | CO |
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