Individual provider Active NPI

Gael H Gauthier, PA-C

  • Medical Physician Assistant
  • Gig Harbor, WA
National Provider Identifier
1629354055
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.PA.61305180 Issued in WA
Practice address
11901 Key Peninsula Hwy NW
Gig Harbor, WA 98329
Phone
(360) 377-3776
NPI assigned
Oct 31, 2011
Last updated
Jul 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9106908 FL
Medical Physician Assistant 363AM0700X 57209 CA
Medical Physician Assistant 363AM0700X PA.PA.61305180 WA Primary

Addresses

Primary practice location

11901 Key Peninsula Hwy NW
Gig Harbor, WA 98329

Mailing address

PO Box 960
Bremerton, WA 98337-0212
Phone (603) 773-7763

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
I20240715001261 WA Practitioner - Physician Assistant 2769927748 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
57209CAMDMedical Physician Assistant
PA9106908FLMDMedical Physician Assistant
PA.PA.61305180WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Community Health Services Medical CurrentSince Aug 5, 2024 Accepting new patients
Peninsula Community Health Services CurrentSince Aug 5, 2024 Accepting new patients
Peninsula Community Health Services Past Accepting new patients

Locations

31 NE State Route 300
Ste 200
Belfair, WA 98528
Phone (360) 377-3779

2720 Clare Ave
Bremerton, WA 98310
Phone (360) 479-6154

5455 Almira Dr NE
Bremerton, WA 98311
Phone (360) 373-5031

616 6th St
Bremerton, WA 98337
Phone (360) 478-2366

11901 137th Ave NW
Unit A
Gig Harbor, WA 98329
Phone (253) 649-0696

25989 Barber Cut Off Rd NE
Kingston, WA 98346
Phone (360) 297-2844

320 S Kitsap Blvd
Port Orchard, WA 98366
Phone (360) 876-7215

19917 7th Ave NE
Ste 205
Poulsbo, WA 98370
Phone (360) 697-7636

627 W Franklin St
Shelton, WA 98584
Phone (360) 427-8940

3100 NW Bucklin Hill Rd
Ste 202
Silverdale, WA 98383
Phone (360) 377-3773

Interoperability endpoints

  • Direct secure messaging: gael.gauthier.1@13902.direct.athenahealth.com

Organizations & group practices 4

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": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1629354055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983370212",
            "telephone_number": "603-773-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 KEY PENINSULA HWY NW",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "98329",
            "telephone_number": "360-377-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAUTHIER",
        "first_name": "GAEL",
        "middle_name": "H",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9106908",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "57209",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA.PA.61305180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.