NPIMap

Individual provider Active NPI

Prelon K Katschman-Colipano, PA-C

  • Physician Assistant
  • Seattle, WA
National Provider Identifier
1194494443
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61353021 Issued in WA
Practice address
550 17TH Ave Ste 680
Seattle, WA 98122-5795
Phone
(206) 215-4545
Fax
(206) 215-4550
NPI assigned
Sep 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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 PA61353021 WA Primary

Addresses

Primary practice location

550 17TH Ave Ste 680
Seattle, WA 98122-5795

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other names 1

  • Prelon K Katschman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230613003164 WA Practitioner - Physician Assistant 5294192886 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 7517870645, 79 clinicians

Practice addresses (Care Compare)

12917 SE 38TH St
Suite 100
Bellevue, WA 98006-1349
Phone (206) 292-7990

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-2000

7320 216TH St SW
Suite 210
Edmonds, WA 98026-8006
Phone (425) 744-1777

751 NE Blakely Dr
Issaquah, WA 98029-6201
Phone (425) 313-4000

Hospital & facility affiliations

  • Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025
  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

Merit-based Incentive Payment System (MIPS)

Final score
87.46 of 100Reported as group
Quality
80.66
Promoting interoperability
100
Improvement activities
40
Cost
77.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61353021WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services CurrentSince Jun 5, 2023 Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

12917 SE 38th St
Ste 100
Bellevue, WA 98006
Phone (206) 292-7990

7320 216th St SW
Ste 210
Edmonds, WA 98026
Phone (206) 292-7990

550 17th Ave
Fl 6
Seattle, WA 98122

Interoperability endpoints

  • Direct secure messaging: pkatschmancolipano1059733@wm.providencedirect.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1194494443",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 17TH AVE STE 680",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225795",
            "telephone_number": "206-215-4545",
            "fax_number": "206-215-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSCHMAN-COLIPANO",
        "first_name": "PRELON",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61353021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRELON",
            "last_name": "KATSCHMAN",
            "middle_name": "K",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.