Individual provider Active NPI

Wesley D Sumrall, PA-C

  • Surgical Physician Assistant
  • Lakewood, WA
National Provider Identifier
1770908907
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA60420918 Issued in WA
Practice address
11306 Bridgeport Way SW Ste D
Lakewood, WA 98499-3037
Phone
(253) 983-9390
NPI assigned
Feb 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA60420918 WA Primary
Medical Physician Assistant 363AM0700X PA 60420918 WA

Addresses

Primary practice location

11306 Bridgeport Way SW Ste D
Lakewood, WA 98499-3037

Mailing address

11306 Bridgeport Way SW Ste D
Lakewood, WA 98499-3037
Phone (253) 983-9390

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
I20140806000394 WA Practitioner - Physician Assistant 1254558802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Pain AllianceGroup PAC ID 0941565162, 43 clinicians

Practice addresses (Care Compare)

11306 Bridgeport Way SW
Lakewood, WA 98499-3037
Phone (253) 983-9390

4029 Northwest Ave
Bellingham, WA 98226-9077

Merit-based Incentive Payment System (MIPS)

Final score
71.86 of 100Reported as group
Quality
61.97
Promoting interoperability
67
Improvement activities
40
Cost
71.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 60420918WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Pain Alliance CurrentSince Jul 10, 2018 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Apr 1, 2014 Accepting new patients
Sound Pain Alliance Current Accepting new patients
Sound Pain Alliance CurrentSince Jul 10, 2018 Accepting new patients
Sound Pain Alliance PastSince Dec 13, 2022 Accepting new patients
Sound Pain Alliance Past Accepting new patients

Locations

4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685

2601 Cherry Ave
Ste 200
Bremerton, WA 98310
Phone (360) 415-9110

11306 Bridgeport Way SW
Ste D
Lakewood, WA 98499
Phone (253) 581-7000

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

7200 S 180th St
Ste 102
Tukwila, WA 98188

Interoperability endpoints

  • Direct secure messaging: wesley.sumrall.p73@direct.proliance.nextgenshare.com

Organizations & group practices 7

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": "1393286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1770908907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11306 BRIDGEPORT WAY SW STE D",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993037",
            "telephone_number": "253-983-9390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11306 BRIDGEPORT WAY SW STE D",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993037",
            "telephone_number": "253-983-9390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMRALL",
        "first_name": "WESLEY",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60420918",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA 60420918",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

Verify at the official NPI Registry.