Active NPI
Matthew Michael Dangleis, PA-C
- Physician Assistant
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61356226
- Practice address
- 4029 Northwest Ave Ste 301
Bellingham, WA 98226-9077 - Phone
- (360) 526-8685
- Fax
- (360) 733-8320
- NPI assigned
- Aug 31, 2021
- Last updated
- Jan 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61356226 | WA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
4029 Northwest Ave Ste 301
Bellingham, WA 98226-9077
Mailing address
14073 Gilmore Ave
Bow, WA 98232-9296
Phone (702) 339-3450
Other practice location 1
8844 Benson Rd
Lynden, WA 98264-9787
Phone (360) 318-0261
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Vermont College of Medicine
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3015 Squalicum Pkwy
Bellingham, WA 98225-1906
8844 Benson Rd
Lynden, WA 98264-9787
Phone (360) 318-0260
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.86 of 100
- Quality
- 61.97
- Promoting interoperability
- 67
- Improvement activities
- 40
- Cost
- 71.75
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD24335 | OR | MD | Emergency Medicine Physician |
| PA61356226 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Current | Accepting new patients | |
| Sound Pain Alliance | Current | Accepting new patients | |
| Sound Pain Alliance | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Sound Pain Alliance | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients |
Locations
400 9th St
Florence, OR 97439
Phone (541) 997-8412
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092
4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685
8844 Benson Rd
Lynden, WA 98264
Phone (360) 318-0260
7200 S 180th St
Ste 102
Tukwila, WA 98188
Interoperability endpoints
- mdangleis558237@direct.peacehealth.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Peace Harbor Medical Center
- Multi-Specialty Clinic/Center
- Florence, OR
- NPI 1982774378
-
dba Mt. Baker Surgery Center
- Ambulatory Surgical Clinic/Center
- Bellingham, WA
- NPI 1457695116
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Regional Laboratory
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1013137173
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736467200000",
"number": "1033887575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14073 GILMORE AVE",
"city": "BOW",
"state": "WA",
"postal_code": "982329296",
"telephone_number": "702-339-3450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4029 NORTHWEST AVE STE 301",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982269077",
"telephone_number": "360-526-8685",
"fax_number": "360-733-8320"
}
],
"practiceLocations": [
{
"address_1": "8844 Benson Rd",
"address_purpose": "LOCATION",
"city": "Lynden",
"state": "WA",
"postal_code": "982649787",
"country_code": "US",
"telephone_number": "360-318-0261",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DANGLEIS",
"first_name": "MATTHEW",
"middle_name": "MICHAEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-31",
"last_updated": "2025-01-10",
"certification_date": "2025-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61356226",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.