Individual provider Active NPI

Merlie Sedan, P.A.

  • Medical Physician Assistant
  • Issaquah, WA
National Provider Identifier
1184758450
Registry record updated May 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10005105 Issued in WA
Practice address
1490 NW Gilman Blvd
Issaquah, WA 98027-5327
Phone
(425) 557-4227
Fax
(425) 557-2858
NPI assigned
Mar 16, 2007
Last updated
May 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10005105 WA Primary

Addresses

Primary practice location

1490 NW Gilman Blvd
Issaquah, WA 98027-5327

Mailing address

1420 NW Gilman Blvd, PMB 2856
Issaquah, WA 98027-5327
Phone (425) 557-4227

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
I20151021002457 WA Practitioner - Physician Assistant 0244321487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1427 Jefferson Ave
Suite 101
Enumclaw, WA 98022-3649
Phone (360) 825-4466

18320 Sr 410
Bonney Lake, WA 98391-8787
Phone (360) 825-4466

Merit-based Incentive Payment System (MIPS)

Final score
80.19 of 100Reported as group
Quality
60.38
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Northwest Medical Services PLLC CurrentSince Jan 27, 2026 Accepting new patients
Dr RVC PLLC Past Accepting new patients
Medcare Clinics LTD Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242864000000",
    "number": "1184758450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 NW GILMAN BLVD, PMB 2856",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275327",
            "telephone_number": "425-557-4227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 NW GILMAN BLVD",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980275327",
            "telephone_number": "425-557-4227",
            "fax_number": "425-557-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDAN",
        "first_name": "MERLIE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2009-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10005105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.