Mary Burnell, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA170904 Issued in OR

Practice address

8614 E Mill Plain Blvd Ste 400
Vancouver, WA 98664-2092

Phone

(541) 728-1019

Fax

(360) 254-6089

NPI assigned

Jan 7, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

University of Utah School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Southwest Washington, PLLCGroup PAC ID 5496891509, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.22 of 100Reported as group

Quality

80.41

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Dermatology Associates of Southwest Washington, PLLC

  • Medical Specialty Clinic/Center
  • Vancouver, WA
  • NPI 1992938906
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1124416508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8614 E MILL PLAIN BLVD",
            "address_2": "STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642092",
            "telephone_number": "541-728-1019",
            "fax_number": "360-254-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8614 E MILL PLAIN BLVD STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986642092",
            "telephone_number": "541-728-1019",
            "fax_number": "360-254-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNELL",
        "first_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-07",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA170904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Allan Burkhart, D.M.D.
• Debbie A. Burkland, RPH
• Gilda Monica Burlacu, MOT, OTR/L
• Robert Kelley Burlingame, M.D.
• Isabella R Burmeister, SLP
• Kayla Gwynn Burnett-Turner
• Amber D Burnett, SPT
• Denise Burningham
• Gail Burns
• John Henry Burns, PAC

• Physician Assistant in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.

Verify at the official NPI Registry.