Active NPI
Vernon Nessan, MD
- Pulmonary Disease Physician
- Puyallup, WA
National Provider Identifier
1881641686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD00013833
- Practice address
- 702 23Rd Ave SE
Puyallup, WA 98372-4661 - Phone
- (253) 841-4378
- Fax
- (253) 841-5881
- NPI assigned
- May 27, 2006
- Last updated
- Jul 13, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | MD00013833 | WA | Primary |
Addresses
Primary practice location
702 23Rd Ave SE
Puyallup, WA 98372-4661
Mailing address
PO Box 40
Puyallup, WA 98371-0137
Phone (253) 697-5502
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 98372K003 | Other | WA | TRICARE PROVIDER NUMBER |
| NE2298 | Other | WA | REGENCE RIDER NUMBER |
| 91120349463 | Other | WA | KPS PROVIDER NUMBER |
| 0155123 | Other | WA | L & I PROVIDER NUMBER |
| 1665702 | Medicaid | WA | |
| 4330437 | Other | WA | AETNA PROVIDER NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00013833 | WA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Community Healthcare | Pulmonary Disease | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Good Samaritan Clinics
- Pain Medicine (Anesthesiology) Physician
- Puyallup, WA
- NPI 1437102399
Pulmonary Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881641686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 40",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983710137",
"telephone_number": "253-697-5502",
"fax_number": "253-697-5510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 23RD AVE SE",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983724661",
"telephone_number": "253-841-4378",
"fax_number": "253-841-5881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESSAN",
"first_name": "VERNON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "WA",
"license": "MD00013833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE PROVIDER NUMBER",
"identifier": "98372K003",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE RIDER NUMBER",
"identifier": "NE2298",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KPS PROVIDER NUMBER",
"identifier": "91120349463",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I PROVIDER NUMBER",
"identifier": "0155123",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1665702",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4330437",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.