NPIMap

Individual provider Active NPI

Lex Barker, PA-C

  • Physician Assistant
  • Puyallup, WA
National Provider Identifier
1447762000
Registry record updated Sep 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60905843 Issued in WA
Practice address
11019 Canyon Rd E Ste a
Puyallup, WA 98373
Phone
(253) 537-0293
Fax
(253) 537-7650
NPI assigned
Nov 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 14447762000 WA
Physician Assistant 363A00000X PA60905843 WA Primary

Addresses

Primary practice location

11019 Canyon Rd E Ste a
Puyallup, WA 98373

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (253) 537-0293

Other practice location 1

11019 Canyon Rd E Ste A
Puyallup, WA 98373
Phone (253) 537-0293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, TX, AK3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190423003008 WA Practitioner - Physician Assistant 9931441987 Reassigns benefits to 2 organizations
I20250715001340 TX Practitioner - Physician Assistant 9931441987 Reassigns benefits to 1 organization
I20260316000633 AK Practitioner - Physician Assistant 9931441987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunnyside Community Hospital Association 57 clinicians

Practice addresses (Care Compare)

1013 E Edison Ave
Sunnyside, WA 98944
Phone (509) 837-1837

1812 E Edison Ave
Sunnyside, WA 98944
Phone (509) 712-3295

2925 Allen Rd
Sunnyside, WA 98944-8931
Phone (509) 837-4949

PO Box
Sunnyside, WA 98944

Hospital & facility affiliations

  • Maniilaq Health Center Hospital, Kotzebue, AK, CCN 021310
  • Astria Sunnyside Hospital Hospital, Sunnyside, WA, CCN 501330

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA60905843WAMDPhysician Assistant
14447762000WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC CurrentSince Oct 1, 2020 Accepting new patients
Maniilaq Association CurrentSince Apr 1, 2025 Accepting new patients
Optum Care Washington PLLC CurrentSince Oct 1, 2020 Accepting new patients
Maniilaq Association CurrentSince Apr 1, 2025 Accepting new patients

Locations

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

11019 Canyon Rd E
Ste A
Puyallup, WA 98373
Phone (253) 537-0293

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1509667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1447762000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "253-537-0293",
            "fax_number": "253-537-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11019 CANYON RD E STE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "98373",
            "telephone_number": "253-537-0293",
            "fax_number": "253-537-7650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11019 Canyon Rd E Ste A",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "98373",
            "country_code": "US",
            "telephone_number": "253-537-0293",
            "fax_number": "253-537-7650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "LEX",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-03",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "14447762000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60905843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.