Individual provider Active NPI

Lauren Nicole Valentine, PA-S

  • Medical Physician Assistant
  • Maple Valley, WA
National Provider Identifier
1073329777
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA70042210 Issued in WA
Practice address
27203 216TH Ave SE Ste D
Maple Valley, WA 98038-3274
Phone
(425) 690-3425
Fax
(425) 690-9425
NPI assigned
Dec 6, 2024
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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 NU
Medical Physician Assistant 363AM0700X PA70042210 WA Primary

Addresses

Primary practice location

27203 216TH Ave SE Ste D
Maple Valley, WA 98038-3274

Mailing address

27203 216TH Ave SE Ste D
Maple Valley, WA 98038-3274
Phone (425) 690-3425

Other practice location 1

7820 S 48th Dr
Laveen, AZ 85339-7301
Phone (206) 261-4006

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
I20260212003040 WA Practitioner - Physician Assistant 8729568449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Medical Group-RentonGroup PAC ID 4183753965, 419 clinicians

Practice addresses (Care Compare)

26458 Maple Valley Black Diamond Rd
Maple Valley, WA 98038-8350
Phone (425) 656-5577

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA70042210WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Medical Group-Renton Physician Assistant CurrentSince Feb 1, 2026 Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

26458 Maple Valley Black Diamond Rd SE
Maple Valley, WA 98038
Phone (425) 656-5577

27203 216th Ave SE
Ste D
Maple Valley, WA 98038
Phone (425) 656-4100

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1073329777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27203 216TH AVE SE STE D",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383274",
            "telephone_number": "425-690-3425",
            "fax_number": "425-690-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27203 216TH AVE SE STE D",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980383274",
            "telephone_number": "425-690-3425",
            "fax_number": "425-690-9425"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7820 S 48th Dr",
            "address_purpose": "LOCATION",
            "city": "Laveen",
            "state": "AZ",
            "postal_code": "853397301",
            "country_code": "US",
            "telephone_number": "206-261-4006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "PA-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA70042210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maple Valley, WA

Sources for this page

Verify at the official NPI Registry.