Individual provider Active NPI

Andrew Ryan McNamara, PA-C

  • Physician Assistant
  • Bellingham, WA
National Provider Identifier
1235745027
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61349168 Issued in WA
Practice address
4120 Meridian St Ste 220
Bellingham, WA 98226-5575
Phone
(360) 922-3030
Fax
(360) 306-8374
NPI assigned
Sep 17, 2020
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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 61349168 WA Primary

Addresses

Primary practice location

4120 Meridian St Ste 220
Bellingham, WA 98226-5575

Mailing address

4120 Meridian St Ste 220
Bellingham, WA 98226-5575
Phone (360) 922-3030

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
I20231026002616 WA Practitioner - Physician Assistant 9133575186 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
Lifeline ConnectionsGroup PAC ID 2860758307, 4 clinicians

Practice addresses (Care Compare)

1601 E 4TH Plain Blvd
Vancouver, WA 98661-3713
Phone (360) 397-8246

4120 Meridian St
Suite 220
Bellingham, WA 98226-5575
Phone (360) 922-3030

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61349168WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Connections CurrentSince Jul 10, 2025 Accepting new patients
Lifeline Connections Medical Services CurrentSince Jul 10, 2025 Accepting new patients

Locations

4120 Meridian St
Ste 220
Bellingham, WA 98226
Phone (360) 922-3030

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/lifelineconnections/r4/

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, 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": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1235745027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4120 MERIDIAN ST STE 220",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265575",
            "telephone_number": "360-922-3030",
            "fax_number": "360-306-8374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4120 MERIDIAN ST STE 220",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982265575",
            "telephone_number": "360-922-3030",
            "fax_number": "360-306-8374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNAMARA",
        "first_name": "ANDREW",
        "middle_name": "RYAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "61349168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.