Individual provider Active NPI

Gabriella Nicole Romero, PA-C, MSPAS

  • Physician Assistant
  • Everett, WA
National Provider Identifier
1619538683
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60972448 Issued in WA
Practice address
3125 Colby Ave Ste J
Everett, WA 98201-4032
Phone
(425) 791-3093
Fax
(425) 791-3094
NPI assigned
Jun 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X PA60972448 WA
Physician Assistant 363A00000X PA60972448 WA Primary

Addresses

Primary practice location

3125 Colby Ave Ste J
Everett, WA 98201-4032

Mailing address

1728 W Marine View Dr Ste 110
Everett, WA 98201-2094
Phone (425) 791-3093

Other practice location 1

1700 116th Ave NE
Suite 200
Bellevue, WA 98004
Phone (425) 209-0840

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
I20191118000934 WA Practitioner - Physician Assistant 3779915509 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

916 Pacific Ave
Everett, WA 98201-4147
Phone (425) 261-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA60972448WAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS CurrentSince Nov 5, 2025 Accepting new patients
Providence Health & Services- Washington CurrentSince Jan 1, 2022 Accepting new patients
Providence Health & Services - Washington CurrentSince Jan 1, 2022 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Nov 5, 2025 Accepting new patients
Western Washington Medical Group, Inc PS Past Accepting new patients

Locations

3125 Colby Ave
Ste J
Everett, WA 98201
Phone (425) 303-8806

916 Pacific Ave
Everett, WA 98201
Phone (425) 258-7123

1728 W Marine View Dr
Ste 111
Everett, WA 98201

1728 W Marine View Dr
Ste 110
Everett, WA 98201
Phone (425) 259-4041

4112 Harbour Pointe Blvd SW
Ste 100
Mukilteo, WA 98275
Phone (425) 347-6330

Interoperability endpoints

  • Direct secure messaging: gromero2030241@wm.providencedirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1561075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1619538683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 W MARINE VIEW DR STE 110",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012094",
            "telephone_number": "425-791-3093",
            "fax_number": "425-791-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 COLBY AVE STE J",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014032",
            "telephone_number": "425-791-3093",
            "fax_number": "425-791-3094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 116th Ave NE",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "98004",
            "country_code": "US",
            "telephone_number": "425-209-0840",
            "fax_number": "425-209-0778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO",
        "first_name": "GABRIELLA",
        "middle_name": "NICOLE",
        "credential": "PA-C, MSPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-21",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WA",
            "license": "PA60972448",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60972448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.