Individual provider Active NPI

Mitchell C Morgan

  • Physician Assistant
  • Seattle, WA
National Provider Identifier
1619581709
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61238419 Issued in WA
Practice address
Medex Northwest 4311 11TH Avenue NE, Suite 200
Seattle, WA 98105
Phone
(206) 616-4001
NPI assigned
Sep 4, 2020
Last updated
Jul 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61238419 WA Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

Medex Northwest 4311 11TH Avenue NE, Suite 200
Seattle, WA 98105

Mailing address

Medex Northwest 4311 11TH Avenue NE, Suite 200
Seattle, WA 98105

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
I20220107001917 WA Practitioner - Physician Assistant 2264824960 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11100 NE 6TH St
Bellevue, WA 98004-5524
Phone (206) 350-7345

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61238419WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 9, 2024 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Oct 9, 2024 Accepting new patients
Carbon Health Medical Group of Washington PC CurrentSince Nov 11, 2025 Accepting new patients

Locations

11100 NE 6th St
Bellevue, WA 98004
Phone (206) 350-7345

1750 S 320th St
#M24
Federal Way, WA 98003
Phone (253) 553-3761

13210 39th Ave SE
Unit 102
Mill Creek, WA 98012
Phone (425) 216-6955

10221 156th St E
Ste P1102
Puyallup, WA 98374
Phone (253) 292-5297

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, 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": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1619581709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDEX NORTHWEST 4311 11TH AVENUE NE, SUITE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDEX NORTHWEST 4311 11TH AVENUE NE, SUITE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98105",
            "telephone_number": "206-616-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "MITCHELL",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-04",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61238419",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.