Active NPI
Cody Carver Frost-Eisenberg, PAC
- Physician Assistant
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61585860
- Practice address
- 1717 S J Street
Tacoma, WA 98405 - Phone
- (253) 426-4101
- NPI assigned
- Mar 25, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA61585860 | WA | |
| Physician Assistant | 363A00000X | PA61585860 | WA | Primary |
Addresses
Primary practice location
1717 S J Street
Tacoma, WA 98405
Mailing address
1717 S J Street
Tacoma, WA 98405
Phone (253) 426-4101
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1717 S J St
Tacoma, WA 98405-4933
Phone (253) 426-6341
1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200
34515 9TH Ave S
Federal Way, WA 98003-6761
Phone (253) 944-7977
Hospital & facility affiliations
- St Joseph Medical Center
- St Francis Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61585860 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Physician Assistant | Past | Accepting new patients |
| Northern Cochise Community Hospital Inc | Past | Accepting new patients |
Locations
1717 S J St
Tacoma, WA 98405
Phone (253) 426-4101
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
1717 S J St
Stop 2010
Tacoma, WA 98405
1717 S J St
#2010
Tacoma, WA 98405
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Internal Medicine Physician
- Bremerton, WA
- NPI 1154564649
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
Physician Assistant
-
- Critical Access Hospital
- Willcox, AZ
- NPI 1013060367
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1093713091
-
- General Acute Care Hospital
- Federal Way, WA
- NPI 1922305606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754870400000",
"number": "1720838899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 S J STREET",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-426-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 S J STREET",
"city": "TACOMA",
"state": "WA",
"postal_code": "98405",
"telephone_number": "253-426-4101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST-EISENBERG",
"first_name": "CODY",
"middle_name": "CARVER",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-03-25",
"last_updated": "2025-08-11",
"certification_date": "2025-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "WA",
"license": "PA61585860",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61585860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.