Lance W Perrin, PA-C
Individual provider Active NPI Medical Physician Assistant · Wenatchee, WA
NPI 1316970775 · NPPES record last updated Aug 3, 2022
Key facts
- NPI
- 1316970775
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- PA10003133 (WA)
- Practice address
- 820 N Chelan Ave
Wenatchee, WA 98801-2028 - Phone
- (509) 663-8711
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kittitas County Hospital Dist 2 | Past | Accepting new patients |
Interoperability endpoints
- lperrin11749@edirect.chehr.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA10003133 | WA | Yes |
Addresses
Primary practice location
820 N Chelan Ave
Wenatchee, WA 98801-2028
Mailing address
820 N Chelan Ave
Wenatchee, WA 98801-2028
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 127271 | Other | WA | L&I |
| 1316970775 | Medicaid | WA | |
| P01256554 | Other | WA | RR MEDICARE |
| 315799 | Other | WA | L&I POST 7/21/13 |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0764.epichosted.com/FHIRProxy/api/FHIR/R4/ | ||
| Direct Messaging Address | lperrin11749@edirect.chehr.org |
Other providers in Wenatchee, WA
- Daniela Perez- Martinez
- Jazmine Guadalupe Perez
- Nelly Perez
- Performance Edge Therapy
- Danielle Renee Perkins
- Elizabeth Marie Perry
- Katie Marie Person
- Amelie Michele Peryea
- Hannah Lynn Peters
- Nyssa Petersen Ventura
All providers in Wenatchee, WA · Medical 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 Aug 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.