Mindy Alexander
Individual provider Active NPI Physician Assistant · Puyallup, WA
NPI 1235599010 · NPPES record last updated Mar 10, 2026
Key facts
- NPI
- 1235599010
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA61587766 (WA)
- Practice address
- 1002 N Meridian
Suite 100 PMB 128
Puyallup, WA 98371-4409 - Phone
- (253) 270-1950
- NPI assigned
- Mar 7, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northwest Emergency Physicians LLC
Practice addresses (Care Compare)
888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611
Hospital & facility affiliations
- Kadlec Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250109002690 | TX | Practitioner - Physician Assistant | 4981132552 | Reassigns benefits to 1 organization |
| I20260331000590 | WA | Practitioner - Physician Assistant | 4981132552 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LH60843665 | WA | MD | Mental Health Counselor |
| PA61587766 | WA | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Professional Counselor | 101YP2500X | |||
| Physician Assistant | 363A00000X | PA61587766 | WA | Yes |
| Mental Health Counselor | 101YM0800X | LH60843665 | WA |
Addresses
Primary practice location
1002 N Meridian
Suite 100 PMB 128
Puyallup, WA 98371-4409
Mailing address
1002 N Meridian
Suite 100 PMB 128
Puyallup, WA 98371-4409
Phone (253) 270-1950
Other providers in Puyallup, WA
- Albertsons LLC
- Ian Terrell Albright
- Caitlyn Raeann Alejo
- Taylor Jean Urbina Alejo
- Alexander Psychological Services, PLLC
- Preethi Mary Alexander
- Nawazish Ali
- Shamso Saeed Ali
- Kenyatta Monique Alicea
- Alain Alisasis
All providers in Puyallup, WA · Physician Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.