Individual provider Active NPI

Paige Workman, PA-C

  • Physician Assistant
  • Olympia, WA
National Provider Identifier
1669910758
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61254283 Issued in WA
Practice address
424 Lilly Rd NE
Olympia, WA 98506-5132
Phone
(360) 292-1708
NPI assigned
Feb 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 181243 OR
Physician Assistant 363A00000X PA61254283 WA Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

424 Lilly Rd NE
Olympia, WA 98506-5132

Mailing address

424 Lilly Rd NE
Olympia, WA 98506-5132
Phone (360) 292-1708

Other practice location 1

2780 E Barnett Rd
Medford, OR 97504-8674
Phone (479) 462-5647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170412000837 OR Practitioner - Physician Assistant 3870879562 Reassigns benefits to 1 organization
I20220421002483 WA Practitioner - Physician Assistant 3870879562 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympic Dermatology and Laser Clinic P SGroup PAC ID 5991791790, 6 clinicians

Practice addresses (Care Compare)

424 Lilly Rd NE
Olympia, WA 98506-5132
Phone (360) 459-1700

Hospital & facility affiliations

  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as group
Quality
93.62
Improvement activities
40
Cost
73.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
181243ORMDPhysician Assistant
PA61254283WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Health & Services - Oregon CurrentSince May 4, 2019 Accepting new patients
Providence Health & Services - Oregon CurrentSince May 4, 2019 Accepting new patients

Locations

1111 Crater Lake Ave
Medford, OR 97504
Phone (541) 732-5250

Interoperability endpoints

  • Direct secure messaging: pworkman@directaddress.net

Organizations & group practices 3

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": "1486512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1669910758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065132",
            "telephone_number": "360-292-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065132",
            "telephone_number": "360-292-1708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 E Barnett Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975048674",
            "country_code": "US",
            "telephone_number": "479-462-5647",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WORKMAN",
        "first_name": "PAIGE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-08",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "181243",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61254283",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.