Rachel Ann Maxwell, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA61265495 Issued in WA

Practice address

2979 Squalicum Pkwy Ste 203
Bellingham, WA 98225-1813

Phone

(360) 733-7670

Fax

(360) 647-1901

NPI assigned

Jun 14, 2017

Last updated

Feb 2, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proliance Surgeons Inc P SGroup PAC ID 8527972900, 395 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rachel.maxwell.p13@direct.proliance.nextgenshare.com
• Direct secure messaging: rmaxwell574398@direct.peacehealth.org

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.

• Proliance Surgeons Inc P S

  dba Proliance Surgeons Orthopedic Specialists of Seattle

  • Orthopaedic Surgery Physician
  • Seattle, WA
  • NPI 1023170313
  Medicare reassignment Care Compare group
• Public Hospital Dist No 1 Skagit

  dba Skagit Regional Clinics

  • General Practice Physician
  • Mount Vernon, WA
  • NPI 1023332749
  Medicare reassignment
• Proliance Surgeons Inc P S

  dba Proliance Orthopedic Associates

  • Orthopaedic Surgery Physician
  • Renton, WA
  • NPI 1235091463

  Surgical

  NPD
• Proliance Surgeons, Inc., P.S.

  dba Proliance Puget Sound Orthopaedics

  • Orthopaedic Surgery Physician
  • Lakewood, WA
  • NPI 1891799490

  Physician Assistant

  NPD
• Public Hospital Dist No 1 Skagit

  dba Cascade Valley Hospital Physicians

  • Anesthesiology Physician
  • Arlington, WA
  • NPI 1265791065
  NPD
• Lancaster Orthopedic Group, Inc.

  • Orthopaedic Surgery Physician
  • Mount Joy, PA
  • NPI 1518118538
  NPD (past)
• Wellspan Medical Group

  dba Wellspan Readycare

  • Family Medicine Physician
  • York, PA
  • NPI 1598862716

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1154851921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2979 SQUALICUM PKWY STE 203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251813",
            "telephone_number": "360-733-7670",
            "fax_number": "360-647-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 SQUALICUM PKWY STE 203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251813",
            "telephone_number": "360-733-7670",
            "fax_number": "360-647-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "RACHEL",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059022",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61265495",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA61265495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206904",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LABOR & INDUSTRIES",
            "identifier": "471274",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Marie-Sue Mattson, LMHC
• Dwe Maung Maung
• Maureen a Kelty MD PC
• Clare Maven
• Cindy Leigh Maxwell, LMP
• Russell Stanley Maxwell, CHIROPRACTOR DC
• Stacie Marie Maxwell, MA-SPED/ABA, BCBA
• James Madison May IV, PSY.D
• Rachel Hill May, ARNP
• Johannah Lacy Maybach

• Surgical Physician Assistant in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Surgical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.