Individual provider Active NPI

Matthew S Hauswald, PA-C

  • Physician Assistant
  • Everett, WA
National Provider Identifier
1396756011
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10004917 Issued in WA
Practice address
4225 Hoyt Ave Ste D
Everett, WA 98203-2351
Phone
(425) 317-8025
NPI assigned
Aug 10, 2006
Last updated
Apr 13, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 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 PA10004917 WA Primary

Addresses

Primary practice location

4225 Hoyt Ave Ste D
Everett, WA 98203-2351

Mailing address

4225 Hoyt Ave Ste D
Everett, WA 98203-2351
Phone (425) 317-8025

Other identifiers 2

IdentifierTypeStateIssuer
8445389MedicaidWA
204684OtherWAWORK COMP

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
I20070420000100 WA Practitioner - Physician Assistant 3678678695 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12039 NE 128TH St
Kirkland, WA 98034-3029

12710 Totem Lake Blvd NE
Kirkland, WA 98034-2907
Phone (425) 821-4040

12800 Bothell Everett Hwy
Everett, WA 98208-6642

14720 Main St NE
Suite 109
Duvall, WA 98019-8460
Phone (425) 788-4889

14841 179TH Ave SE
Monroe, WA 98272-1127

16916 140TH Ave NE
Woodinville, WA 98072-6957

18151 68TH Ave NE
Suite 100
Kenmore, WA 98028-2835
Phone (425) 485-6561

1909 214TH St SE
Suite 110
Bothell, WA 98021-4412
Phone (425) 488-4988

19200 N Kelsey St
Monroe, WA 98272-1431
Phone (360) 794-7994

4112 Harbour Pointe Blvd SW
Suite 100
Mukilteo, WA 98275-5457
Phone (425) 347-6330

4220 132ND St SE
Suite 103
Mill Creek, WA 98012-8999
Phone (425) 225-1210

8980 161St Ave NE
Redmond, WA 98052-7554

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10004917WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services- Washington CurrentSince Jan 2, 2024 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Aug 10, 2020 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Mar 1, 2025 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Aug 10, 2020 Accepting new patients
Cep America LLC Physician Assistant CurrentSince Feb 1, 2016 Accepting new patients
Providence Health & Services - Wa CurrentSince Jan 2, 2024 Accepting new patients
Cep America LLC CurrentSince Feb 1, 2016 Accepting new patients
King County Public Hospital District No. 2 Current Accepting new patients
King County Public Hospital District No 2 CurrentSince Mar 1, 2025 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

21601 76th Ave W
Edmonds, WA 98026
Phone (425) 640-4000

7315 212th St SW
Ste 201
Edmonds, WA 98026
Phone (425) 778-8116

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

4225 Hoyt Ave
Ste D
Everett, WA 98203
Phone (425) 258-3622

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Interoperability endpoints

  • Direct secure messaging: mhauswald1041862@wm.providencedirect.org

Organizations & group practices 11

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 3

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1396756011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 HOYT AVE STE D",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032351",
            "telephone_number": "425-317-8025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 HOYT AVE STE D",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982032351",
            "telephone_number": "425-317-8025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSWALD",
        "first_name": "MATTHEW",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10004917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8445389",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK COMP",
            "identifier": "204684",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.