Individual provider Active NPI

Natasha Hartweg, PA-C

  • Physician Assistant
  • Olympia, WA
National Provider Identifier
1558035386
Registry record updated Nov 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
TA61352420 Issued in WA
Practice address
615 Lilly Rd NE Ste 220
Olympia, WA 98506-5137
Phone
(360) 486-6150
NPI assigned
Aug 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 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 TA61352420 WA Primary

Addresses

Primary practice location

615 Lilly Rd NE Ste 220
Olympia, WA 98506-5137

Mailing address

615 Lilly Rd NE Ste 220
Olympia, WA 98506-5137

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
I20221214000595 WA Practitioner - Physician Assistant 2668841644 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 493-4083

525 Lilly Rd NE
Olympia, WA 98506-5101

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TA61352420WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Sep 6, 2023 Accepting new patients
Multicare Health System Physician Assistant CurrentSince Sep 6, 2023 Accepting new patients
Providence Health & Services Washington CurrentSince Oct 24, 2022 Accepting new patients
Multicare Health System Physician Assistant Past Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

316 S K St
Tacoma, WA 98405
Phone (253) 403-1375

317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400

3124 S 19th St
Ste 340
Tacoma, WA 98405
Phone (253) 459-7000

315 S K St
Tacoma, WA 98405
Phone (253) 403-1291

Organizations & group practices 6

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": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668297600000",
    "number": "1558035386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 LILLY RD NE STE 220",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 LILLY RD NE STE 220",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065137",
            "telephone_number": "360-486-6150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTWEG",
        "first_name": "NATASHA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-05",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "TA61352420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.