CIERA A. CLINE (PA-C) – Surgical Physician Assistant, NPI 1639950397

CIERA A. CLINE (PA-C) is a healthcare provider. based in Mount vernon, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA61494382 (). The NPI Number for CIERA A. CLINE (PA-C) is 1639950397

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
CIERA A. CLINE (PA-C)
NPI
1639950397
Phone
(360) 424-7041
Address
1401 S LAVENTURE RD
Enumeration Date
9 October 2023
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
3173972593
Group Practice PAC ID
1153225198
Professional Enrollment ID
I20231211003373
Address ID
WA982212562An1211XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:2State licenses:1Digital endpointsOther names

4,285 PHYSICIAN ASSISTANT in WA

Provider Addresses for CIERA A. CLINE (PA-C)

  • 1401 S LAVENTURE RD

    MOUNT VERNON, WA 982746033

    Phone: (360) 424-7041

    Fax: (360) 424-2418

    Type: Mailing

  • 1500 CONTINENTAL PL

    MOUNT VERNON, WA 982734105

    Phone: (360) 424-7041

    Fax: (360) 424-2418

    Type: Location

  • 2720 Commercial Ave

    Anacortes, WA 982212734

    Phone: (360) 424-7041

    Fax: (360) 424-2418

    Type: Location

  • 1401 S Laventure Rd

    Mount Vernon, WA 982746033

    Phone: (360) 424-7041

    Fax: (360) 424-2418

    Type: Location

  • 1017 20th St

    Anacortes, WA 982212505

    Phone: (360) 424-7041

    Fax: (360) 424-2418

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $15.

Total Amount is formed as General ($15) + Research ($0) + Ownership ($0) = $15.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Smith+Nephew, Inc. ($15).

Total Amount

$15

General + Research + Ownership

Payments

1

Total payment records

General Amount

$15

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$15
View all Open Payments →|Open Payments Risk Radar →

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: 2023-12-11

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
I20231211003373IPhysician 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98274)

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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: 1153225198View full group profile
NameSpecialtyState
Physician AssistantWA
Mental Health CounselorWA
Critical Care (Intensivists), Pulmonary DiseaseWA
O B S T E T R I C S/ G Y N E C O L O G YWA
Pulmonary Disease, Critical Care (Intensivists), Critical Care (Intensivists), Pulmonary DiseaseFL
-WA
-NV
-WA
-WA
-WA

Reviews

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Frequently asked questions

Can I verify CIERA A. CLINE (PA-C) with an NPI only?
You can start verification with NPI 1639950397 for CIERA A. CLINE (PA-C), then check state licensing separately.
Can I rely on CIERA A. CLINE (PA-C) being an active provider?
As of the registry snapshot, CIERA A. CLINE (PA-C) is marked active.
What taxonomy line describes CIERA A. CLINE (PA-C)?
For research purposes, treat CIERA A. CLINE (PA-C) as Surgical Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is CIERA A. CLINE (PA-C) based?
CIERA A. CLINE (PA-C) is tied to Mount Vernon, Washington in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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