Individual provider Active NPI

Isabelle Siddik Sinaga, PA-C

  • Physician Assistant
  • Bremerton, WA
National Provider Identifier
1396412433
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
400 Warren Ave Ste 200
Bremerton, WA 98337-1467
Phone
(360) 377-3776
NPI assigned
Aug 26, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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 Primary

Addresses

Primary practice location

400 Warren Ave Ste 200
Bremerton, WA 98337-1467

Mailing address

400 Warren Ave Ste 200
Bremerton, WA 98337-1467

Other practice location 1

35002 Pacific Hwy S Ste A105
Federal Way, WA 98003-8366
Phone (253) 900-2182

Other names 1

  • Isabelle Siddik Former name

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
I20220117000343 WA Practitioner - Physician Assistant 0749672178 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians
Peninsula Community Health ServicesGroup PAC ID 9436044781, 47 clinicians

Practice addresses (Care Compare)

1344 Wintergreen LN NE
Bainbridge Island, WA 98110-5118
Phone (206) 842-5632

25989 Barber Cut Off Rd NE
Kingston, WA 98346-8455
Phone (360) 377-3776

616 6TH St
Bremerton, WA 98337-1420
Phone (360) 377-3776

Hospital & facility affiliations

  • Virginia Mason Medical Center Hospital, Seattle, WA, CCN 500005
  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Community Health Services CurrentSince Sep 26, 2023 Accepting new patients
Virginia Mason Medical Center CurrentSince Dec 18, 2025 Accepting new patients
Peninsula Community Health Services Physician Assistant CurrentSince Sep 26, 2023 Accepting new patients
Virginia Mason Medical Center CurrentSince Dec 18, 2025 Accepting new patients
Peninsula Community Health Services Physician Assistant Past Accepting new patients

Locations

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

1344 Wintergreen Ln NE
Bainbridge Island, WA 98110
Phone (206) 842-5632

616 6th St
Bremerton, WA 98337
Phone (360) 478-2366

2442 Perry Ave
Bremerton, WA 98310

2720 Clare Ave
Bremerton, WA 98310
Phone (360) 479-6154

8107 Central Valley Rd NE
Bremerton, WA 98311

2650 NE John Carlson Rd
Bremerton, WA 98311

25989 Barber Cut Off Rd NE
Kingston, WA 98346
Phone (360) 297-2844

26201 Siyaya Ave NE
Rm 121
Kingston, WA 98346

320 S Kitsap Blvd
Port Orchard, WA 98366
Phone (360) 876-7215

19917 7th Ave NE
Ste 205
Poulsbo, WA 98370
Phone (360) 697-7636

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

7607 NW Newberry Hill Rd
Silverdale, WA 98383
Phone (360) 475-6700

Interoperability endpoints

  • Direct secure messaging: isabelle.sinaga.1@13902.direct.athenahealth.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 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": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1396412433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WARREN AVE STE 200",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WARREN AVE STE 200",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983371467",
            "telephone_number": "360-377-3776"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35002 Pacific Hwy S Ste A105",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980038366",
            "country_code": "US",
            "telephone_number": "253-900-2182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINAGA",
        "first_name": "ISABELLE",
        "middle_name": "SIDDIK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABELLE",
            "last_name": "SIDDIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.