Active NPI
Matthew Hassen, PA-C
- Physician Assistant
- Federal Way, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.0006180
- Practice address
- 34617 11TH PL S
Federal Way, WA 98003 - Phone
- (253) 336-4142
- NPI assigned
- May 20, 2016
- Last updated
- May 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA60807198 | Other | WA | WASHINGTON 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 64.75 of 100
- Quality
- 55.37
- Improvement activities
- 40
- Cost
- 47.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| True North Health Navigation LLC | Current | Accepting new patients | |
| Dispatchhealth Advanced Care - Washington PC | Past | 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
- 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.
-
dba Dispatch Health
- Emergency Medicine Physician
- Denver, CO
- NPI 1740622133
-
- Hospitalist Physician
- Denver, CO
- NPI 1093324659
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.