Patricia Laurene Payne-Zajac, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16344 Issued in CA

Practice address

407 E Main St
Everson, WA 98247-9525

Phone

(360) 966-3441

NPI assigned

Jan 18, 2007

Last updated

Aug 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Specialty

Physician Assistant

Education

Sanford School of Medicine of University of South Dakota, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foundation Health Services, PLLCGroup PAC ID 6709173529, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: patricia.payne-zajac.1@19273.direct.athenahealth.com

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.

• Foundation Health Services, PLLC

  dba Foundation Health

  • Urgent Care Clinic/Center
  • Johnson City, TN
  • NPI 1376922278
  Medicare reassignment Care Compare group
• Wellmont Medical Associates Inc

  dba Ballad Health Medical Associates

  • Internal Medicine Physician
  • Abingdon, VA
  • NPI 1174808216
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471996800000",
    "number": "1245382175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E MAIN ST",
            "city": "EVERSON",
            "state": "WA",
            "postal_code": "982479525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E MAIN ST",
            "city": "EVERSON",
            "state": "WA",
            "postal_code": "982479525",
            "telephone_number": "360-966-3441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE-ZAJAC",
        "first_name": "PATRICIA",
        "middle_name": "LAURENE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2016-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16344",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60643778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nooksack Valley Drug Store LLC (Valley Drug)
• Nooksack Valley School District
• William Michael O'Bryan VI, ATC, LAT, MSAT, CSCS
• Lynnette Jo Ondeck, RN
• Silvia Aracely Ortiz, RN
• Nancy Picht
• Francis Pitsch, CO
• Allison Porter
• Lillian Brooke Porter
• Kathleen Annette Puderbaugh, ARNP

• Physician Assistant in Everson, WA
• Providers in Everson, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.