Individual provider Active NPI

Caroline A Stampfli, PA-C

  • Physician Assistant
  • Arlington, WA
National Provider Identifier
1619056231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10003350 Issued in WA
Practice address
875 Wesley St Ste 250
Arlington, WA 98223-1668
Phone
(360) 435-2233
Fax
(360) 435-3966
NPI assigned
Nov 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PA10003350 WA Primary

Addresses

Primary practice location

875 Wesley St Ste 250
Arlington, WA 98223-1668

Mailing address

875 Wesley St Ste 250
Arlington, WA 98223-1668
Phone (360) 435-2233

Other identifiers 1

IdentifierTypeStateIssuer
8442519MedicaidWA

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
I20060112000038 WA Practitioner - Physician Assistant 0244253656 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA10003350WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS CurrentSince May 1, 2013 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince May 1, 2013 Accepting new patients

Locations

875 Wesley St
Ste 250
Arlington, WA 98223
Phone (360) 435-2233

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619056231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 WESLEY ST STE 250",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231668",
            "telephone_number": "360-435-2233",
            "fax_number": "360-435-3966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 WESLEY ST STE 250",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982231668",
            "telephone_number": "360-435-2233",
            "fax_number": "360-435-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPFLI",
        "first_name": "CAROLINE",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8442519",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

Verify at the official NPI Registry.