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

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 3

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

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 (64 clinicians)

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 Home health agency · Wenatchee, WA · CCN 507029
  • Lake Chelan Community Hospital Hospital · Chelan, WA · CCN 501334
  • Confluence Health Hospital Hospital · Wenatchee, WA · CCN 500016

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 IDStateProvider typePAC IDDetails
I20200421001157 WA Practitioner - Physician Assistant 6709216401 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
61012546WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Valley Community Health Current
since Feb 24, 2021
Accepting new patients
Columbia Valley Community Health Current
since Feb 24, 2021
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

  • Direct secure messaging: daniel.buzzell.1@10575.direct.athenahealth.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 21, 2021.

{
    "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

All providers in Wenatchee, WA · Physician Assistant in Washington

Sources for this page

Verify at the official NPI Registry.