Active NPI
Teresa E Vasicek, PA-C
- Physician Assistant
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60535275
- Practice address
- 1101 Madison St
Ste 1400
Seattle, WA 98104-4308 - Phone
- (206) 386-6266
- Fax
- (206) 386-2844
- NPI assigned
- Sep 8, 2014
- Last updated
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60535275 | WA | Primary |
| Medical Physician Assistant | 363AM0700X | PA60535275 | WA |
Addresses
Primary practice location
1101 Madison St
Ste 1400
Seattle, WA 98104-4308
Mailing address
PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1100 9TH Ave
Seattle, WA 98101-2756
Phone (206) 223-6600
1101 Madison St
Suite 1400
Seattle, WA 98104-4308
Phone (206) 386-6266
747 Broadway
Seattle, WA 98122-4379
Phone (206) 386-6000
925 Seneca St
Seattle, WA 98101-2742
Phone (206) 223-6600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Past | Accepting new patients |
Locations
7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
1100 9th Ave
#3
Seattle, WA 98101
Phone (206) 223-2319
1100 9th Ave
#4
Seattle, WA 98101
Phone (206) 515-5811
1101 Madison St
Ste 1400
Seattle, WA 98104
Phone (206) 386-6266
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
800 5th Ave
Ste 600
Seattle, WA 98104
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Seattle, WA
- NPI 1689612954
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
dba Virginia Mason Medical Center-Neurosurgery
- Neurological Surgery Physician
- Seattle, WA
- NPI 1487701991
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1306992151
-
dba Swedish/Issaquah
- General Acute Care Hospital
- Issaquah, WA
- NPI 1851686059
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645660800000",
"number": "1164823282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 25608",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841250608",
"telephone_number": "206-320-4476",
"fax_number": "206-568-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 MADISON ST",
"address_2": "STE 1400",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981044308",
"telephone_number": "206-386-6266",
"fax_number": "206-386-2844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASICEK",
"first_name": "TERESA",
"middle_name": "E",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2022-02-24",
"certification_date": "2022-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60535275",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA60535275",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2022; 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.