MR. BRUCE PATRICK DELEONARD (PA-C) – Medical Physician Assistant, NPI 1609906411

MR. BRUCE PATRICK DELEONARD (PA-C) is a healthcare provider. based in Walla walla, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA10004413 (WA). The NPI Number for MR. BRUCE PATRICK DELEONARD (PA-C) is 1609906411

Main info

Male
Sole Proprietor
24 Years Of Experience
Accepts Medicare Assignment
Name
MR. BRUCE PATRICK DELEONARD (PA-C)
NPI
1609906411
Phone
(509) 520-1852
Address
2319 FRAZIER DR
Enumeration Date
7 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099439104
Graduation Year
2002 (24 years ago)
PAC ID
0547207862
Group Practice PAC ID
1850642562
Professional Enrollment ID
I20050408000346
Address ID
WA993543300RI1175XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for MR. BRUCE PATRICK DELEONARD (PA-C)

  • 2319 FRAZIER DR

    WALLA WALLA, WA 993621518

    Phone: (509) 520-1852

    Fax: (509) 529-9924

    Type: Mailing

  • KANIA CLINIC 3000 W KENNEWICK RD.

    KENNEWICK, WA 99301

    Phone: (509) 543-9300

    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: 2005-04-08

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
I20050408000346IPhysician 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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1614$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1411$0
View full utilization report →

Insurance plans in this area (ZIP 99362)

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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: 1850642562View full group profile
NameSpecialtyState
-WA
Mental Health CounselorWA
-TX
Nurse PractitionerOH
Nurse PractitionerWA
Clinical Social WorkerWA
General SurgeryNY
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)WA
Physician AssistantWA
-WA

Reviews

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Frequently asked questions

Can I use this page to confirm MR. BRUCE PATRICK DELEONARD (PA-C)'s NPI?
Yes. MR. BRUCE PATRICK DELEONARD (PA-C) is listed with NPI 1609906411 in the public NPI dataset.
Does the file indicate MR. BRUCE PATRICK DELEONARD (PA-C) is practicing under active NPI?
Directory data currently reports MR. BRUCE PATRICK DELEONARD (PA-C) as active.
What is MR. BRUCE PATRICK DELEONARD (PA-C)'s primary classification?
Medical Physician Assistant is the headline specialty for MR. BRUCE PATRICK DELEONARD (PA-C) here. Clinical services aligned with this taxonomy classification.
Where is MR. BRUCE PATRICK DELEONARD (PA-C) based?
MR. BRUCE PATRICK DELEONARD (PA-C) is tied to Walla Walla, Washington in the data we show; additional addresses may exist on the full record.
Is the information about MR. BRUCE PATRICK DELEONARD (PA-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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