SELEMANI E WAMBUZI (PA-C) – Physician Assistant, NPI 1659921302
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for SELEMANI E WAMBUZI (PA-C)
1515 E Columbia St
Othello, WA 993441846
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Location
11th Avenue Northeast, University District, Seattle, King County, Washington, 98105-6286, United States
SEATTLE, WA 981056367
Phone: (206) 616-4001
Fax: (206) 616-3889
Type: Location
601 Government Rd
Mattawa, WA 993495120
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Location
1201 PACIFIC AVE STE 400
TACOMA, WA 984024381
Phone: (253) 300-8447
Fax: (206) 590-5919
Type: Location
1515 E COLUMBIA ST
OTHELLO, WA 993441846
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Mailing
601 GOVERNMENT RD
MATTAWA, WA 993495120
Phone: (509) 488-5256
Fax: (509) 488-9939
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: 2021-04-01
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 |
|---|---|---|---|---|
| I20210401000191 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 1,468 | 312 | $0 |
| 99310 | Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | 362 | 226 | $0 |
| 99497 | Advance care planning, first 30 minutes | 274 | 228 | $0 |
| 99316 | Nursing facility discharge management, more than 30 minutes | 178 | 149 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 136 | 32 | $0 |
Insurance plans in this area (ZIP 99344)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Nurse Practitioner | MN | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | WA | |
| Family Practice | WA | |
| Nurse Practitioner | OR | |
| Family Practice | WA | |
| Nurse Practitioner | WA |
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