Individual provider Active NPI

Matthew Hassen, PA-C

  • Physician Assistant
  • Federal Way, WA
National Provider Identifier
1598112443
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.0006180 Issued in CO
Practice address
34617 11TH PL S
Federal Way, WA 98003
Phone
(253) 336-4142
NPI assigned
May 20, 2016
Last updated
May 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60807198 WA
Physician Assistant 363A00000X PA.0006180 CO Primary
Medical Physician Assistant 363AM0700X PA60807198 WA

Addresses

Primary practice location

34617 11TH PL S
Federal Way, WA 98003

Mailing address

34617 11TH PL S
Federal Way, WA 98003-8706
Phone (253) 336-4142

Other practice location 1

6240 Tacoma Mall Blvd Ste 101
Tacoma, WA 98409-6819
Phone (253) 271-9720

Other practice location 2

3455 Ringsby Ct Ste 102
Denver, CO 80216-4923
Phone (303) 500-1518

Other identifiers 1

IdentifierTypeStateIssuer
PA60807198OtherWAWASHINGTON STATE DEPARTMENT OF HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20200602000905 CO Practitioner - Physician Assistant 3476806605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
64.75 of 100Reported as group
Quality
55.37
Improvement activities
40
Cost
47.65

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
True North Health Navigation LLC CurrentSince Jul 1, 2020 Accepting new patients
Dispatchhealth Advanced Care - Washington PC PastSince Oct 21, 2020 Accepting new patients

Locations

5825 Delmonico Dr
Ste 101
Colorado Springs, CO 80919
Phone (706) 315-2523

3455 Ringsby Ct
Ste 102
Denver, CO 80216
Phone 3035001518 ext. 30350

Interoperability endpoints

  • Direct secure messaging: matthew.hassen.1@13869.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1598112443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34617 11TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038706",
            "telephone_number": "253-336-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34617 11TH PL S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98003",
            "telephone_number": "253-336-4142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6240 Tacoma Mall Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984096819",
            "country_code": "US",
            "telephone_number": "253-271-9720",
            "fax_number": "253-212-3372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3455 Ringsby Ct Ste 102",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802164923",
            "country_code": "US",
            "telephone_number": "303-500-1518",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASSEN",
        "first_name": "MATTHEW",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60807198",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0006180",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60807198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "PA60807198",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.