Individual provider Active NPI

Catherine Anne Delsecco, PA-C

  • Medical Physician Assistant
  • Mercer Island, WA
National Provider Identifier
1720150105
Registry record updated Feb 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA-10004561 Issued in WA
Practice address
8435 SE 68TH St
Suite 118
Mercer Island, WA 98040-5249
Phone
(206) 232-7546
Fax
(206) 275-0805
NPI assigned
Nov 14, 2006
Last updated
Feb 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X PA10004561 WA
Medical Physician Assistant 363AM0700X PA-10004561 WA Primary

Addresses

Primary practice location

8435 SE 68TH St
Suite 118
Mercer Island, WA 98040-5249

Mailing address

8435 SE 68TH St
Suite 118
Mercer Island, WA 98040-5249
Phone (206) 232-7546

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
I20040304000587 WA Practitioner - Physician Assistant 6204723075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Dermatology and Skin Surgery PLLCGroup PAC ID 8123125002, 3 clinicians

Practice addresses (Care Compare)

8301 161St Ave NE
Suite 108
Redmond, WA 98052-3858
Phone (425) 485-7985

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-10004561WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen William Doggett, M.D. PA Past Accepting new patients

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, 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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234224000000",
    "number": "1720150105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8435 SE 68TH ST",
            "address_2": "SUITE 118",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405249",
            "telephone_number": "206-232-7546",
            "fax_number": "206-275-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8435 SE 68TH ST",
            "address_2": "SUITE 118",
            "city": "MERCER ISLAND",
            "state": "WA",
            "postal_code": "980405249",
            "telephone_number": "206-232-7546",
            "fax_number": "206-275-0805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELSECCO",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2009-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "PA10004561",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA-10004561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercer Island, WA

Sources for this page

Verify at the official NPI Registry.