Individual provider Active NPI

Lucas Craft, PA-C

  • Physician Assistant
  • Bothell, WA
National Provider Identifier
1205553773
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61443443 Issued in WA
Practice address
20225 Bothell Everett Hwy Apt 331
Bothell, WA 98012-8180
Phone
(217) 620-6221
NPI assigned
Oct 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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 61443443 WA Primary

Addresses

Primary practice location

20225 Bothell Everett Hwy Apt 331
Bothell, WA 98012-8180

Mailing address

20225 Bothell Everett Hwy Apt 331
Bothell, WA 98012-8180
Phone (217) 620-6221

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
I20230823001777 WA Practitioner - Physician Assistant 5092188136 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
Group practices
Psychiatry Northwest LLCGroup PAC ID 3476881335, 4 clinicians

Practice addresses (Care Compare)

2150 N 107TH St
Suite 400
Seattle, WA 98133-9009
Phone (206) 402-3375

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61443443WAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: psychiatrynorthwest.lucascraft@136974.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1205553773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20225 BOTHELL EVERETT HWY APT 331",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128180",
            "telephone_number": "217-620-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20225 BOTHELL EVERETT HWY APT 331",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980128180",
            "telephone_number": "217-620-6221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "LUCAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-25",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "61443443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.