Individual provider Active NPI

Gertrude Massie, PA

  • Physician Assistant
  • Phoenix, AZ
National Provider Identifier
1063151249
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
9250 Issued in AZ
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

Updated by the provider on Aug 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102001970 WA Practitioner - Physician Assistant 3476929241 Reassigns benefits to 4 organizations

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
Tra-Minw P SGroup PAC ID 2163316167, 152 clinicians

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

LicenseStateTypeSpecialty
9250AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Tra-Minw P S CurrentSince Nov 1, 2023 Accepting new patients
Medical Imaging Northwest - Good Samaritan Hospital Imaging Alliance CurrentSince Nov 1, 2023 Accepting new patients
Tra Medical Imaging Centers LLC CurrentSince Dec 1, 2025 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

  • FHIR API: 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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.