Daniel Buzzell, PA-C
Individual provider Active NPI Physician Assistant · Wenatchee, WA
NPI 1104465285 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1104465285
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 61012546 (WA)
- Practice address
- 600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800 - Phone
- (509) 662-6000
- NPI assigned
- Jan 6, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Valley Community Health
Practice addresses (Care Compare)
105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-6000
600 Orondo Ave
Wenatchee, WA 98801-2800
900 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone (509) 884-9000
940 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone (509) 884-9000
980 Eastmont Ave
East Wenatchee, WA 98802-6602
Phone (509) 662-6000
Hospital & facility affiliations
- Central Washington Health Services
- Lake Chelan Community Hospital
- Confluence Health Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- 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 |
|---|---|---|---|---|
| I20200421001157 | WA | Practitioner - Physician Assistant | 6709216401 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61012546 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Valley Community Health | Current |
Accepting new patients | |
| Columbia Valley Community Health | Current |
Accepting new patients | |
| Columbia Valley Community Health | Past | Accepting new patients |
Locations
105 S Apple Blossom Dr
Chelan, WA 98816
Phone (509) 682-6000
940 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000
900 Eastmont Ave
East Wenatchee, WA 98802
Phone (509) 884-9000
600 Orondo Ave
Ste 1
Wenatchee, WA 98801
Phone (509) 664-4575
Interoperability endpoints
- daniel.buzzell.1@10575.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 61012546 | WA | Yes |
Addresses
Primary practice location
600 Orondo Ave Ste 1
Wenatchee, WA 98801-2800
Mailing address
PO Box 613
Chelan, WA 98816-0613
Phone (919) 797-5297
Other practice location 1
105 S Apple Blossom Dr
Chelan, WA 98816-8810
Phone (509) 682-6000
NPI Registry JSON
{
"created_epoch": "1578268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1104465285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 613",
"city": "CHELAN",
"state": "WA",
"postal_code": "988160613",
"telephone_number": "919-797-5297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 ORONDO AVE STE 1",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988012800",
"telephone_number": "509-662-6000"
}
],
"practiceLocations": [
{
"address_1": "105 S Apple Blossom Dr",
"address_purpose": "LOCATION",
"city": "Chelan",
"state": "WA",
"postal_code": "988168810",
"country_code": "US",
"telephone_number": "509-682-6000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUZZELL",
"first_name": "DANIEL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-01-06",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "61012546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
- Busk PLLC
- Jacqueline Bustos-Espino
- Scott Butcherite
- Sarah Butler
- Susan Butler
- Cecelia M Byrd
- James C Byrd
- America Maria Caballero
- Deborah Cahill
- Sarah Elizabeth Caldwell
All providers in Wenatchee, WA · 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 Apr 21, 2021. 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.