Unknown Individual – Physician Assistant, NPI 1619353968
Physician Assistant
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NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
601 N KEYS RD
YAKIMA, WA 989011172
Phone: (509) 865-2395
Fax: (509) 865-0757
Type: Mailing
1120 W ROSE ST
WALLA WALLA, WA 993621662
Phone: (509) 525-6650
Fax: (509) 522-2349
Type: Location
10 DAVOL SQ STE 400
PROVIDENCE, RI 029034760
Phone: (401) 421-4000
Fax: (401) 272-1456
Type: Mailing
360 KINGSTOWN RD UNIT 200
NARRAGANSETT, RI 028823258
Phone: (401) 783-6940
Fax: (401) 792-3676
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 146 | 123 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 92 | 74 | $0 |
| G0008 | Administration of influenza virus vaccine | 37 | 37 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 30 | 30 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 28 | 28 | $0 |
Insurance plans in this area (ZIP 98901)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WA | |
| Internal Medicine | WA | |
| - | WA | |
| - | WA | |
| Family Practice | WA | |
| Mental Health Counselor | WA | |
| Family Practice | WA | |
| Family Practice | WA | |
| Mental Health Counselor | WA | |
| Internal Medicine | WA |
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