Pamela Elizabeth Wireman, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA60777975 Issued in WA

Practice address

629 Avenue D
Snohomish, WA 98290-2330

Phone

(360) 568-0502

NPI assigned

Jun 12, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, WA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pwireman726898@direct.multicare.org

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.

• Alaska Native Tribal Health Consortium

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1437189339

  TX

  Medicare reassignment NPD
• Western Washington Medical Group, Inc PS

  • Psychiatry Physician
  • Everett, WA
  • NPI 1396413803
  Medicare reassignment
• Western Washington Medical Group, Inc PS

  • Family Medicine Physician
  • Marysville, WA
  • NPI 1285978882
  NPD
• Western Washington Medical Group, Inc PS

  • Infectious Disease Physician
  • Everett, WA
  • NPI 1427816305
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1417184870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12119 BOLLENBAUGH HILL ROAD",
            "city": "MONROE",
            "state": "WA",
            "postal_code": "98272",
            "telephone_number": "419-778-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 AVENUE D",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982902330",
            "telephone_number": "360-568-0502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Lavelle Court",
            "address_purpose": "LOCATION",
            "city": "Unalaska",
            "state": "AK",
            "postal_code": "996851130",
            "country_code": "US",
            "telephone_number": "907-581-2742",
            "fax_number": "907-581-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIREMAN",
        "first_name": "PAMELA",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2023-07-18",
        "certification_date": "2022-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "852",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60777975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Wilber
• Marce Alene Williams, PHYSICAL THERAPIST A
• Jacqueline Maureen Wilson
• Kim Marie Wilson, RN
• Lorina Aline Wilson, PTA
• Women and Family Wellness Studio
• Jane Y Wong, PHARM D
• Jennifer Wong, DDS
• Mary Dorothy Wood, RN
• Tanner Wooding

• Physician Assistant in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.