Individual provider Active NPI

Daniel Austen, PA

  • Physician Assistant
  • Battle Ground, WA
National Provider Identifier
1386047611
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA60607612 Issued in WA
Practice address
18 NW 20TH Ave Ste 101
Battle Ground, WA 98604-4175
Phone
(360) 952-4457
Fax
(360) 828-7409
NPI assigned
Oct 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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 OA60607612 WA Primary

Addresses

Primary practice location

18 NW 20TH Ave Ste 101
Battle Ground, WA 98604-4175

Mailing address

18 NW 20TH Ave
Battle Ground, WA 98604-4175
Phone (360) 952-4457

Other practice location 1

650 N Devine Rd Ste B
Vancouver, WA 98661-6979
Phone (360) 952-4457

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
I20161114001221 WA Practitioner - Physician Assistant 7315226446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rose Medical Groups PCGroup PAC ID 9335430677, 9 clinicians

Practice addresses (Care Compare)

650 N Devine Rd
Suite B
Vancouver, WA 98661-6979
Phone (360) 952-4457

Hospital & facility affiliations

  • Peacehealth Southwest Medical Cente Hospital, Vancouver, WA, CCN 500050

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: daniel.s.r.austen.1@10370.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1412121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1386047611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NW 20TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044175",
            "telephone_number": "360-952-4457",
            "fax_number": "360-828-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 NW 20TH AVE STE 101",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044175",
            "telephone_number": "360-952-4457",
            "fax_number": "360-828-7409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 N Devine Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986616979",
            "country_code": "US",
            "telephone_number": "360-952-4457",
            "fax_number": "360-828-7409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUSTEN",
        "first_name": "DANIEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-01",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "OA60607612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Ground, WA

Sources for this page

Verify at the official NPI Registry.