Active NPI
Yelena Zepeda
- Physician Assistant
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA60912983
- Practice address
- 4311 11TH Avenue NE
Suite 200
Seattle, WA 98105 - Phone
- (206) 616-0014
- Fax
- (206) 616-3889
- NPI assigned
- Jul 24, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60912983 | WA | Primary |
Addresses
Primary practice location
4311 11TH Avenue NE
Suite 200
Seattle, WA 98105
Mailing address
4311 11TH Ave NE Ste 200
Seattle, WA 98105-6367
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, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Outpatient Services Inc
Practice addresses (Care Compare)
11120 NE 33Rd PL
Suite 202
Bellevue, WA 98004-1444
Phone (888) 637-9669
2600 Compass Rd
Glenview, IL 60026-8001
Hospital & facility affiliations
- Assured Home Health
- Wesley Homes at Home, LLC
- Centerwell Home Health
- Puget Sound Home Health
- Haven Home Health Care
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA60912983 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Current | Accepting new patients | |
| South Sound Inpatient Physicians PLLC | Physician Assistant | Current | Accepting new patients |
Locations
11120 NE 33rd Pl
Ste 202
Bellevue, WA 98004
Phone (206) 426-2584
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
4430 Talbot Rd S
Renton, WA 98055
Phone (425) 226-7500
1225 N Argonne Rd
Ste 100
Spokane Valley, WA 99212
Phone (509) 505-5315
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.
-
- Internal Medicine Physician
- Bellevue, WA
- NPI 1679264014
-
- Physical Medicine & Rehabilitation Physician
- Lehi, UT
- NPI 1023781028
WA
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
- Internal Medicine Physician
- Vancouver, WA
- NPI 1023285756
Physician Assistant
-
- Internal Medicine Physician
- Hillsboro, OR
- NPI 1508023789
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Tacoma, WA
- NPI 1801825187
-
- Home Health Agency
- Federal Way, WA
- NPI 1033736160
-
- Home Health Agency
- Mountlake Terrace, WA
- NPI 1770998528
-
- Home Health Agency
- Tacoma, WA
- NPI 1912242678
-
- Home Health Agency
- Seattle, WA
- NPI 1740312479
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1922521749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4311 11TH AVE NE STE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981056367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4311 11TH AVENUE NE",
"address_2": "SUITE 200",
"city": "SEATTLE",
"state": "WA",
"postal_code": "98105",
"telephone_number": "206-616-0014",
"fax_number": "206-616-3889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZEPEDA",
"first_name": "YELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-24",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA60912983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; 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.