REBECCA ELIZABETH BOZEMAN (PA-C) – Physician Assistant, NPI 1629582093

REBECCA ELIZABETH BOZEMAN (PA-C) is a healthcare provider. based in Seattle, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 60796658 (WA). The NPI Number for REBECCA ELIZABETH BOZEMAN (PA-C) is 1629582093

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
REBECCA ELIZABETH BOZEMAN (PA-C)
NPI
1629582093
Phone
Not provided
Address
PO BOX 50095
Enumeration Date
21 November 2017
Last Update Date
4 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2065987954
Graduation Year
2017 (9 years ago)
PAC ID
2961752423
Group Practice PAC ID
0446162697
Professional Enrollment ID
I20180904000826
Address ID
WA981056008SE4245XNEXX400
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for REBECCA ELIZABETH BOZEMAN (PA-C)

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone:

    Fax: (360) 346-2192

    Type: Mailing

  • 600, Main Street, Elma, Howard County, Iowa, 50628, United States

    ELMA, WA 985419560

    Phone: (360) 346-2299

    Fax: (360) 346-2192

    Type: Mailing

  • 1959 NE PACIFIC ST.

    SEATTLE, WA 981950001

    Phone: (206) 520-5000

    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: 2018-09-04

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
I20180904000826IPhysician 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 minutes157118$0
99214Established patient office or other outpatient visit, 30-39 minutes6048$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit5353$0
99215Established patient office or other outpatient visit, 40-54 minutes1716$0
View full utilization report →

Insurance plans in this area (ZIP 98145)

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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: 0446162697View full group profile

Reviews

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Frequently asked questions

How do payers reference REBECCA ELIZABETH BOZEMAN (PA-C)?
For REBECCA ELIZABETH BOZEMAN (PA-C), use NPI 1629582093 as the unique 10-digit identifier.
Is REBECCA ELIZABETH BOZEMAN (PA-C) still an active registrant?
REBECCA ELIZABETH BOZEMAN (PA-C) carries an active NPI according to the public dataset.
What expertise is attributed to REBECCA ELIZABETH BOZEMAN (PA-C)?
REBECCA ELIZABETH BOZEMAN (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with REBECCA ELIZABETH BOZEMAN (PA-C)?
Directory geography for REBECCA ELIZABETH BOZEMAN (PA-C) centers on Seattle, Washington.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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