NPIMap

Individual provider Active NPI

Stephanie E Linnell, PA-C

  • Physician Assistant
  • Puyallup, WA
National Provider Identifier
1699007690
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60136127 Issued in WA
Practice address
2913 5TH Ave NE Ste 101
Puyallup, WA 98372-6748
Phone
(855) 255-1750
Fax
(855) 255-0905
NPI assigned
Feb 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60136127 WA Primary

Addresses

Primary practice location

2913 5TH Ave NE Ste 101
Puyallup, WA 98372-6748

Mailing address

2220 Cornwall Ave
Bellingham, WA 98225-3719
Phone (360) 734-4404

Other practice location 1

3130 Ellis St
Bellingham, WA 98225-1904
Phone (360) 734-4404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130720000269 WA Practitioner - Physician Assistant 5092956821 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.56 of 100Reported as group
Quality
71.73
Improvement activities
40
Cost
80.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA60136127WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
United Wound Healing Accountable Care Consultants PLLC Physician Assistant CurrentSince Jan 28, 2024 Accepting new patients
Mahnaz Lary MD Inc PS Past Accepting new patients
Northstar Associates, PLLC PastSince Jul 5, 2005 Accepting new patients
Western Washington University Student Health Center Past Accepting new patients
Northstar Associates Past Accepting new patients

Locations

2913 5th Ave NE
Ste 101
Puyallup, WA 98372
Phone (253) 905-0646

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1250/brand/1/csg/1/fhir/r4

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1699007690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 CORNWALL AVE",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982253719",
            "telephone_number": "360-734-4404",
            "fax_number": "360-734-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2913 5TH AVE NE STE 101",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983726748",
            "telephone_number": "855-255-1750",
            "fax_number": "855-255-0905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 Ellis St",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251904",
            "country_code": "US",
            "telephone_number": "360-734-4404",
            "fax_number": "360-734-7409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINNELL",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60136127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.