Active NPI
Gertrude Massie, PA
- Physician Assistant
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 9250
- Practice address
- 5777 E Mayo Blvd
Phoenix, AZ 85054-4502 - Phone
- (480) 301-8000
- NPI assigned
- Jun 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | PA61477339 | WA | |
| Physician Assistant | 363A00000X | 9250 | AZ | Primary |
Addresses
Primary practice location
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Mailing address
435 N 5TH St
Phoenix, AZ 85004-2157
Other practice location 1
435 N 5th St
Phoenix, AZ 85004-2157
Phone (000) 000-0000
Other practice location 2
1304 Fawcett Ave
Tacoma, WA 98402-1911
Phone (253) 761-4200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 15TH Ave SE
Puyallup, WA 98372-3754
Phone (253) 841-4353
3402 S 18TH St
Tacoma, WA 98405-1903
Phone (253) 841-4353
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 841-4353
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 841-4353
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9250 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tra-Minw P S | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Current | Accepting new patients | |
| Tra Medical Imaging Centers LLC | Current | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Past | Accepting new patients | |
| Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance | Past | Accepting new patients |
Locations (25 of 56)
205 10th St NE
Auburn, WA 98002
Phone (253) 351-5300
122 3rd St NE
Auburn, WA 98002
Phone (253) 833-7750
9230 Sky Island Dr E
Bonney Lake, WA 98391
Phone (253) 750-6000
10004 204th Ave E
Ste 2600
Bonney Lake, WA 98391
Phone (253) 446-3983
21110 Sr 410 E
Ste 110
Bonney Lake, WA 98391
5900 State Highway 303 NE
Bremerton, WA 98311
Phone (253) 459-6633
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
16259 Sylvester Rd SW
Burien, WA 98166
Phone (206) 241-5400
16045 1st Ave S
Burien, WA 98148
Phone (206) 965-4100
27111 167th Pl SE
Ste 101
Covington, WA 98042
3021 Griffin Ave
Enumclaw, WA 98022
Phone (253) 833-6241
1455 Battersby Ave
Enumclaw, WA 98022
Phone (253) 552-5615
30809 1st Ave S
Federal Way, WA 98003
Phone (253) 839-2030
34503 9th Ave S
Federal Way, WA 98003
Phone (253) 835-8280
11567 Canterwood Blvd
Gig Harbor, WA 98332
Phone (253) 530-2000
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
4700 Point Fosdick Dr
Ste 110
Gig Harbor, WA 98335
Phone (253) 759-2622
6140 E Lake Sammamish Pkwy SE
Ste F
Issaquah, WA 98029
17700 SE 272nd St
Kent, WA 98042
Phone (253) 372-6500
9537 Gravelly Lake Dr SW
Ste E10
Lakewood, WA 98499
Phone (253) 984-2000
24080 SE Kent Kangley Rd
Maple Valley, WA 98038
Phone (253) 372-7680
3822 116th St NE
Marysville, WA 98271
800 164th St SE
Ste P
Mill Creek, WA 98012
Phone (425) 434-4231
3504 12th Ave NE
Olympia, WA 98506
Phone (253) 459-8009
345 Cooper Point Rd NW
Ste 103
Olympia, WA 98502
Phone (360) 763-7515
Interoperability endpoints
- https://app.meldrx.com/api/fhir/ei-trami
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1396814166
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1083802946
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1447041751
-
- Radiology Clinic/Center
- Tacoma, WA
- NPI 1568531242
-
- Radiology Clinic/Center
- Bonney Lake, WA
- NPI 1699063354
-
- Radiology Clinic/Center
- Puyallup, WA
- NPI 1215181482
-
- Radiology Clinic/Center
- Bonney Lake, WA
- NPI 1760636930
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Gig Harbor, WA
- NPI 1447406699
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
-
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724976000000",
"number": "1063151249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 N 5TH ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850042157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5777 E MAYO BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850544502",
"telephone_number": "480-301-8000"
}
],
"practiceLocations": [
{
"address_1": "435 N 5th St",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850042157",
"country_code": "US",
"telephone_number": "000-000-0000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1304 Fawcett Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984021911",
"country_code": "US",
"telephone_number": "253-761-4200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MASSIE",
"first_name": "GERTRUDE",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-03",
"last_updated": "2024-08-30",
"certification_date": "2024-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61477339",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "9250",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.