Individual provider Active NPI

Christine Theresa De Cejka

  • Physician Assistant
  • Richland, WA
National Provider Identifier
1164980108
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2564 Queensgate Dr
Richland, WA 99352-9109
Phone
(888) 227-3312
NPI assigned
Mar 8, 2019
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2564 Queensgate Dr
Richland, WA 99352-9109

Mailing address

2564 Queensgate Dr
Richland, WA 99352-9109
Phone (888) 227-3312

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190605003145 WA Practitioner - Physician Assistant 3375876345 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Express Care Wa PCGroup PAC ID 6800128067, 64 clinicians
Lourdes Hospital LLCGroup PAC ID 1850642562, 42 clinicians

Practice addresses (Care Compare)

105 E Mission Ave
Suite D
Spokane, WA 99202-6002
Phone (888) 227-3312

1601 George Washington Way
Richland, WA 99354-2626
Phone (888) 227-3312

2564 Queensgate Dr
Suite 2580
Richland, WA 99352-9109
Phone (888) 227-3312

4008 W 27TH Ave
Suite 103
Kennewick, WA 99337-2484
Phone (888) 227-3312

5304 N Rd
Suite 68
Pasco, WA 99301-8078
Phone (509) 543-9300

5506 Rd
Suite 68
Pasco, WA 99301-9627
Phone (888) 227-3312

718 91St Ave NE
Lake Stevens, WA 98258-2420
Phone (888) 227-3312

7425 Wrigley Dr
Pasco, WA 99301-5292

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lourdes Hospital LLC CurrentSince Oct 1, 2022 Accepting new patients
Tri-City Orthopaedic Clinic P S C CurrentSince Nov 29, 2021 Accepting new patients
Providence Health & Services - Washington Past Accepting new patients
Our Lady of Lourdes Health Center Past Accepting new patients

Locations

6703 W Rio Grande Ave
Kennewick, WA 99336
Phone (509) 460-5588

1200 N 14th Ave
Pasco, WA 99301
Phone (509) 547-7536

5304 Road 68
Pasco, WA 99301
Phone (509) 543-9300

7425 Wrigley Dr
Ste 204
Pasco, WA 99301
Phone (509) 416-0027

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1164980108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2564 QUEENSGATE DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529109",
            "telephone_number": "888-227-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2564 QUEENSGATE DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529109",
            "telephone_number": "888-227-3312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE CEJKA",
        "first_name": "CHRISTINE",
        "middle_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.