Active NPI
Wesley D Sumrall, PA-C
- Surgical Physician Assistant
- Lakewood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA60420918
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| PA 60420918 | WA | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Pain Alliance | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of Washington | Current | Accepting new patients | |
| Sound Pain Alliance | Current | Accepting new patients | |
| Sound Pain Alliance | Current | Accepting new patients | |
| Sound Pain Alliance | Past | 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
- 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.
-
- Pain Medicine Physician
- Bellingham, WA
- NPI 1649776394
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1386935351
-
- Ambulatory Surgical Clinic/Center
- Bellingham, WA
- NPI 1457695116
-
- Pain Clinic/Center
- Corvallis, OR
- NPI 1437893286
-
- Pain Clinic/Center
- Bonney Lake, WA
- NPI 1306411277
-
- Pain Clinic/Center
- Burlington, WA
- NPI 1538405709
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.