Audrey Rose Guillermo Lewkowitz, PHYSICIAN ASSISTANT
Individual provider Active NPI Medical Physician Assistant · Milton, WA
NPI 1013429653 · NPPES record last updated May 28, 2026
Key facts
- NPI
- 1013429653
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA.PA.61582318 (WA)
- Practice address
- 2748 Milton Way Ste 101
Milton, WA 98354-9379 - Phone
- (253) 922-5262
- Fax
- (253) 922-5299
- NPI assigned
- Nov 3, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Franciscan Medical Group
Multicare Health System
Practice addresses (Care Compare)
2748 Milton Way
Suite 101
Milton, WA 98354-9379
Phone (253) 922-5262
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, ID
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240927000208 | WA | Practitioner - Physician Assistant | 5890053110 | Reassigns benefits to 2 organizations |
| I20250902001622 | ID | Practitioner - Physician Assistant | 5890053110 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55086 | CA | MD | Pharmacist |
| 5571659 | ID | MD | Medical Physician Assistant |
| PA.PA.61582318 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current |
Accepting new patients | |
| Multicare Health System | Current |
Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA.PA.61582318 | WA | Yes |
| Medical Physician Assistant | 363AM0700X | 5571659 | ID |
Addresses
Primary practice location
2748 Milton Way Ste 101
Milton, WA 98354-9379
Mailing address
2748 Milton Way Ste 101
Milton, WA 98354-9379
Phone (253) 922-5262
Other names
- Audrey Rose Guiang Guillermo
Other providers in Milton, WA
- Joyce Lai
- Jack F Lake
- Makaira Lebo
- Jennifer Lewis
- Joel Emerson Lewis
- Melissa Lords
- Erin Kim Lorentzen
- Kim A Lovett
- Sarah Njeri Macharia
- James Mbuthia
All providers in Milton, WA · Medical Physician Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.