NPIMap

Individual provider Active NPI

Andrew Michael Charles Traynham, PA-C

  • Physician Assistant
  • Richland, WA
National Provider Identifier
1265107502
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.61191038 Issued in WA
Practice address
1100 Goethals Dr Ste E3
Richland, WA 99352-3300
Phone
(509) 942-2986
Fax
(509) 942-3097
NPI assigned
Aug 10, 2021
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 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 PA.61191038 WA Primary

Addresses

Primary practice location

1100 Goethals Dr Ste E3
Richland, WA 99352-3300

Mailing address

1100 Goethals Dr Ste E3
Richland, WA 99352-3300
Phone (509) 942-2986

Other practice location 1

800 Garfield Ave
Parkersburg, WV 26101-5376
Phone (304) 424-2111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, CO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211008000426 WV Practitioner - Physician Assistant 5395143184 Reassigns benefits to 1 organization
I20241115000991 CO Practitioner - Physician Assistant 5395143184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1050 Wellington Ave
Imh Wellington Lung and Sleep Clinic
Grand Junction, CO 81501-8121
Phone (970) 298-5864

2635 N 7TH St
Grand Junction, CO 81501-8209

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.59 of 100Reported as apm
Quality
92.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2557WVMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wvu Medical Corporation Physician Assistant CurrentSince Aug 30, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Aug 30, 2021 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Nov 11, 2024 Accepting new patients
Intermountain Medical Group Grand Junction, LLC CurrentSince Nov 11, 2024 Accepting new patients
St Mary's Hospital and Medical Center, Inc Past Accepting new patients

Locations

500 Eldorado Blvd
Ste 4300
Broomfield, CO 80021

1050 Wellington Ave
Grand Junction, CO 81501
Phone (970) 245-4810

1050 Wellington Ave
Slp Ctr
Grand Junction, CO 81501
Phone (970) 298-5864

2643 Patterson Rd
Ste 605
Grand Junction, CO 81506
Phone (970) 244-2482

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

705 Garfield Ave
Ste 460
Parkersburg, WV 26101
Phone (304) 424-2093

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

Interoperability endpoints

  • Direct secure messaging: atraynham182711@direct.wvuhsdirect.com

Organizations & group practices 7

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.

Hospital & facility affiliations 6

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": "1628553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1265107502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 GOETHALS DR STE E3",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523300",
            "telephone_number": "509-942-2986",
            "fax_number": "509-942-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 GOETHALS DR STE E3",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523300",
            "telephone_number": "509-942-2986",
            "fax_number": "509-942-3097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Parkersburg",
            "state": "WV",
            "postal_code": "261015376",
            "country_code": "US",
            "telephone_number": "304-424-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAYNHAM",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL CHARLES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-10",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA.61191038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.