Individual provider Active NPI

Phyllis Anne Cowan, DO

  • Emergency Medicine Physician
  • Port Angeles, WA
National Provider Identifier
1578978151
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OP60732394 Issued in WA
Practice address
939 Caroline St
Port Angeles, WA 98362-3909
Phone
(360) 417-7724
Fax
(360) 452-5772
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 009915 AZ
Emergency Medicine Physician 207P00000X OP60732394 WA Primary

Addresses

Primary practice location

939 Caroline St
Port Angeles, WA 98362-3909

Mailing address

PO Box 850
Port Angeles, WA 98362-0146
Phone (360) 417-7724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NM, TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20170726003274 WA Practitioner - Emergency Medicine 5294027447 Reassigns benefits to 4 organizations
I20220926000787 NM Practitioner - Emergency Medicine 5294027447 Reassigns benefits to 2 organizations
I20250912002599 TX Practitioner - Emergency Medicine 5294027447 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Arizona College of Osteopathic Medicine Mid Western University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Washington Emergency Physicians PLLCGroup PAC ID 0749514735, 78 clinicians
Pecos County Memorial Hospital DistrictGroup PAC ID 3173977477, shared by 7 NPIs, 32 clinicians
Northwest Emergency Physicians LLCGroup PAC ID 3476462334, 267 clinicians

Practice addresses (Care Compare)

14815 Pacific Ave S
Tacoma, WA 98444-4654
Phone (253) 697-8660

387 W Ih
Suite 10
Fort Stockton, TX 79735
Phone (432) 336-2058

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611

Hospital & facility affiliations

  • Multicare Good Samaritan Hospital Hospital, Puyallup, WA, CCN 500079
  • Pecos County Memorial Hospital Hospital, Fort Stockton, TX, CCN 451389

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OP60732394WAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Emergency Group a Professional LLC Emergency Medicine CurrentSince Dec 23, 2023 Accepting new patients
Southwest Emergency Medical Associates of NM PC Emergency Medicine CurrentSince Aug 4, 2024 Accepting new patients
Pecos County Memorial Hospital District Current Accepting new patients
Hospitalist Medicine Physicians of New Mexico - Clovis, LLC Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Olney Emergency Group, a Professional LLC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Pecos County Memorial Hospital District Family Medicine CurrentSince Aug 25, 2025 Accepting new patients
Northwest Emergency Physicians LLC Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Clallam County Public Hospital District 2 PastSince Aug 18, 2017 Accepting new patients

Locations

601 Martin Luther King Ave NE
Albuquerque, NM 87102
Phone (505) 727-8040

4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000

2450 S Telshor Blvd
Las Cruces, NM 88011
Phone (505) 522-8641

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234

387 W Interstate 10
Fort Stockton, TX 79735
Phone (432) 336-2004

914 S Scheuber Rd
Centralia, WA 98531
Phone (360) 330-8516

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

1016 Tacoma Ave
Sunnyside, WA 98944
Phone (509) 823-6682

1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101

502 W 4th Ave
Toppenish, WA 98948
Phone (509) 575-5000

Organizations & group practices 9

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661299200000",
    "number": "1578978151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620146",
            "telephone_number": "360-417-7724",
            "fax_number": "360-452-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 CAROLINE ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983623909",
            "telephone_number": "360-417-7724",
            "fax_number": "360-452-5772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "PHYLLIS",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "009915",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "OP60732394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.