Individual provider Active NPI

Alexis D Elliott, PA

  • Physician Assistant
  • Silverdale, WA
National Provider Identifier
1720548753
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61592805 Issued in WA
Practice address
3505 NW Anderson Hill Rd Ste 201
Silverdale, WA 98383-9161
Phone
(360) 698-6859
Fax
(360) 337-7403
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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 PA61592805 WA Primary

Addresses

Primary practice location

3505 NW Anderson Hill Rd Ste 201
Silverdale, WA 98383-9161

Mailing address

4700 Point Fosdick Dr Ste 219
Gig Harbor, WA 98335-1706
Phone (253) 851-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, 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
I20190429002165 AZ Practitioner - Physician Assistant 9335481019 Reassigns benefits to 2 organizations
I20241022002465 WA Practitioner - Physician Assistant 9335481019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4700 Point Fosdick Dr
Suite 219
Gig Harbor, WA 98335-1706

4700 Ponit Fosdick Dr
Suite 219
Gig Harbor, WA 98335

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

Merit-based Incentive Payment System (MIPS)

Final score
84.78 of 100Reported as group
Quality
79.58
Improvement activities
40
Cost
76.5

Merit-based Incentive Payment System (MIPS)

Final score
81.83 of 100Reported as group
Quality
90.71
Improvement activities
40
Cost
51.83

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7395AZMDGeneral Practice Dentistry
PA61592805WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J H Daulat DO PC Past Accepting new patients
Stephen William Doggett, M.D. PA PastSince Nov 29, 2023 Accepting new patients
Eric O Rasmussen Past Accepting new patients

Organizations & group practices 6

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1720548753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 219",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-851-7733",
            "fax_number": "253-851-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 NW ANDERSON HILL RD STE 201",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983839161",
            "telephone_number": "360-698-6859",
            "fax_number": "360-337-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "ALEXIS",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61592805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.