Individual provider Active NPI

Dena Mahre, PAC

  • Surgical Physician Assistant
  • Yakima, WA
National Provider Identifier
1396711107
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA10003591 Issued in WA
Practice address
111 S 11TH Ave Ste 320
Yakima, WA 98902-3273
Phone
(509) 580-7213
NPI assigned
Feb 23, 2006
Last updated
Feb 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA10003591 WA Primary

Addresses

Primary practice location

111 S 11TH Ave Ste 320
Yakima, WA 98902-3273

Mailing address

111 S 11TH Ave Ste 320
Yakima, WA 98902-3273
Phone (509) 580-7213

Other names 1

  • Dena Clearwater 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
I20050912000506 WA Practitioner - Physician Assistant 0042243099 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yakima Valley Memorial PhysiciansGroup PAC ID 1557391596, 397 clinicians

Practice addresses (Care Compare)

111 S 11TH Ave
Suite 320
Yakima, WA 98902-3273
Phone (509) 454-8888

2811 Tieton Dr
Yakima, WA 98902-3761
Phone (509) 575-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10003591WAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kittitas County Public Hospital Dist 1 Current Accepting new patients
Yakima Valley Memorial Physicians CurrentSince May 13, 2025 Accepting new patients
Kittitas County Public Hosp Dist 1 CurrentSince Jun 1, 2015 Accepting new patients
Kittitas County Public Hospital Dist 1 CurrentSince Jun 1, 2015 Accepting new patients
Thuthi Enterprises, LLC CurrentSince Jan 1, 2023 Accepting new patients
Yakima Valley Memorial Physicians Past Accepting new patients

Locations

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

715 North Park Ctr
Ste B
Selah, WA 98942
Phone (509) 698-2624

111 S 11th Ave
Ste 320
Yakima, WA 98902
Phone (509) 248-7184

2811 Tieton Dr
Yakima, WA 98902
Phone (509) 249-5210

3003 Tieton Dr
Ste 350
Yakima, WA 98902
Phone (509) 573-3939

Interoperability endpoints

  • Direct secure messaging: dena.mahre.1@22275.direct.athenahealth.com
  • Direct secure messaging: dmahre@kittitasvalleyhealthcare.cernerdirect.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 1

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1396711107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH AVE STE 320",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023273",
            "telephone_number": "509-580-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH AVE STE 320",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989023273",
            "telephone_number": "509-580-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHRE",
        "first_name": "DENA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA10003591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENA",
            "last_name": "CLEARWATER",
            "credential": "PAC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.