Individual provider Active NPI

Ciera A. Cline, PA-C

  • Surgical Physician Assistant
  • Mount Vernon, WA
National Provider Identifier
1639950397
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA61494382
Practice address
1500 Continental PL
Mount Vernon, WA 98273-4105
Phone
(360) 424-7041
Fax
(360) 424-2418
NPI assigned
Oct 9, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA61494382 Primary

Addresses

Primary practice location

1500 Continental PL
Mount Vernon, WA 98273-4105

Mailing address

1401 S Laventure Rd
Mount Vernon, WA 98274-6033
Phone (360) 424-7041

Other practice location 1

1401 S Laventure Rd
Mount Vernon, WA 98274-6033
Phone (360) 424-7041

Other practice location 2

1017 20th St
Anacortes, WA 98221-2505
Phone (360) 424-7041

Other practice location 3

2720 Commercial Ave
Anacortes, WA 98221-2734
Phone (360) 424-7041

Other identifiers 2

IdentifierTypeStateIssuer
2263897MedicaidWA
475587OtherWAWA LABOR & INDUSTRIES

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
I20231211003373 WA Practitioner - Physician Assistant 3173972593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Hospital District No 2 Skagit County WashingtonGroup PAC ID 1153225198, 77 clinicians

Practice addresses (Care Compare)

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 299-1350

Hospital & facility affiliations

  • Island Hospital Hospital, Anacortes, WA, CCN 500007

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons Inc P S Surgical CurrentSince Oct 31, 2023 Accepting new patients
Proliance Surgeons, Inc., P.S. Surgical CurrentSince Oct 31, 2023 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince May 12, 2025 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince May 12, 2025 Accepting new patients
Public Hospital District No 2 Skagit County Washington Past Accepting new patients

Locations

1017 20th St
Anacortes, WA 98221
Phone (360) 424-7041

2720 Commercial Ave
Anacortes, WA 98221
Phone (360) 299-1300

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1500 Continental Pl
Mount Vernon, WA 98273
Phone (360) 424-7041

1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Interoperability endpoints

  • Direct secure messaging: ciera.cline.p15@direct.proliance.nextgenshare.com

Organizations & group practices 7

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 1

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": "1696809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1639950397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 S LAVENTURE RD",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982746033",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 CONTINENTAL PL",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982734105",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2418"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 S Laventure Rd",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "WA",
            "postal_code": "982746033",
            "country_code": "US",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1017 20th St",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982212505",
            "country_code": "US",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2418",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2720 Commercial Ave",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982212734",
            "country_code": "US",
            "telephone_number": "360-424-7041",
            "fax_number": "360-424-2418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLINE",
        "first_name": "CIERA",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": "PA61494382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2263897",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LABOR & INDUSTRIES",
            "identifier": "475587",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.