Individual provider Active NPI

Alina A. Melnyk, PA-C

  • Physician Assistant
  • Puyallup, WA
National Provider Identifier
1316566623
Registry record updated Feb 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
120 14TH Ave SE
Puyallup, WA 98372-3718
Phone
(425) 744-1527
NPI assigned
Apr 16, 2020
Last updated
Feb 9, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2023

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 WA Primary

Addresses

Primary practice location

120 14TH Ave SE
Puyallup, WA 98372-3718

Mailing address

10819 SE 244TH PL
Kent, WA 98030-0714
Phone (253) 737-7319

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
I20200504000002 WA Practitioner - Physician Assistant 4183055304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
93.88 of 100Reported as group
Quality
100
Improvement activities
40
Cost
64.49

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Center for Pain Management LLC CurrentSince Jun 1, 2020 Accepting new patients
Washington Center for Pain Management, LLC CurrentSince Jun 1, 2020 Accepting new patients
Sports and Spine Past Accepting new patients

Locations

1900 116th Ave NE
Ste 100
Bellevue, WA 98004
Phone (425) 753-3174

3900 Factoria Blvd SE
Ste A
Bellevue, WA 98006
Phone (206) 320-2001

3202 Colby Ave
Ste B
Everett, WA 98201
Phone (206) 895-1825

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACBEAD

Organizations & group practices 4

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": "1586995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1316566623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10819 SE 244TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980300714",
            "telephone_number": "253-737-7319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 14TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723718",
            "telephone_number": "425-744-1527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELNYK",
        "first_name": "ALINA",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-16",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.