Individual provider Active NPI

Robin L Vargo, P.A.

  • Physician Assistant
  • Joint Base Lewis McChord, WA
National Provider Identifier
1629378641
Registry record updated Dec 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 60404079 Issued in WA
Practice address
690 Barnes Blvd
Joint Base Lewis McChord, WA 98438-1303
Phone
(253) 982-0328
NPI assigned
Oct 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2013

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 014421 NY
Physician Assistant 363A00000X PA07611 TX
Physician Assistant 363A00000X PA 60404079 WA Primary

Addresses

Primary practice location

690 Barnes Blvd
Joint Base Lewis McChord, WA 98438-1303

Mailing address

1110 9TH Ave SW
Puyallup, WA 98371-6736
Phone (512) 294-1170

Other identifiers 1

IdentifierTypeStateIssuer
02997217MedicaidNY

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
I20150126001144 WA Practitioner - Physician Assistant 7315127420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10004 204TH Ave E
Suite 2600
Bonney Lake, WA 98391-6539
Phone (253) 482-8700

11511 Canterwood Blvd
Suite 45
Gig Harbor, WA 98332-5816
Phone (253) 428-8700

1624 I St S
Suite 305
Tacoma, WA 98405-5093

1624 S I St
Tacoma, WA 98405-5093
Phone (253) 428-8700

2920 S Meridian
Suite 100
Puyallup, WA 98373-1654
Phone (253) 428-8700

2940 S Meridian
Suite 200
Puyallup, WA 98373-1659
Phone (253) 428-8700

34509 9TH Ave S
Suite 107
Federal Way, WA 98003-8707
Phone (253) 428-8700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 60404079WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Specialties PLLC CurrentSince Oct 1, 2022 Accepting new patients
Northwest Medical Specialties Pharmacy CurrentSince Oct 1, 2022 Accepting new patients

Locations

10004 204th Ave E
Ste 2600
Bonney Lake, WA 98391
Phone (253) 446-3983

34509 9th Ave S
Ste 107
Federal Way, WA 98003
Phone (253) 272-7777

3920 Capital Mall Dr SW
Ste 402
Olympia, WA 98502
Phone (360) 704-4786

3920 Capital Mall Dr SW
Ste 404
Olympia, WA 98502

2940 S Meridian
Ste 200
Puyallup, WA 98373

2920 S Meridian
Ste 100
Puyallup, WA 98373
Phone (253) 604-4599

1624 S I St
Ste 202
Tacoma, WA 98405
Phone (253) 272-3639

1624 S I St
Ste 105
Tacoma, WA 98405

1624 S I St
Ste 305
Tacoma, WA 98405

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 and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388102400000",
    "number": "1629378641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 9TH AVE SW",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983716736",
            "telephone_number": "512-294-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 BARNES BLVD",
            "city": "JOINT BASE LEWIS MCCHORD",
            "state": "WA",
            "postal_code": "984381303",
            "telephone_number": "253-982-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGO",
        "first_name": "ROBIN",
        "middle_name": "L",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2013-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "014421",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07611",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA 60404079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02997217",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Joint Base Lewis McChord, WA

Sources for this page

Verify at the official NPI Registry.