Yareli Aguirre
Individual provider Active NPI Physician Assistant · Tacoma, WA
NPI 1922529403 · NPPES record last updated Oct 24, 2018
Key facts
- NPI
- 1922529403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA60903021 (WA)
- Practice address
- 1148 Broadway Ste 100
Tacoma, WA 98402-3518 - Phone
- (253) 722-1539
- Fax
- (206) 616-3889
- NPI assigned
- Jul 5, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Washington School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Native American Mental Health Services Corporation
Community Health Care
Practice addresses (Care Compare)
1035 Cass St
Monterey, CA 93940-4517
Phone (831) 886-0030
11225 Pacific Ave S
Tacoma, WA 98444-5525
Phone (253) 284-2203
1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone (253) 441-4742
1742 Oregon St
Redding, CA 96001-1717
Phone (530) 646-7269
450 Lincoln Ave
Suite 101
Salinas, CA 93901-2652
Phone (831) 269-5988
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in WA, CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190521000738 | WA | Practitioner - Physician Assistant | 8224371992 | Reassigns benefits to 1 organization |
| I20240501003890 | CA | Practitioner - Physician Assistant | 8224371992 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care | Current |
Accepting new patients | |
| Community Health Care | Current |
Accepting new patients |
Locations
134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304
1202 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 441-4742
1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 441-4742
Interoperability endpoints
- yareli.aguirrepac.p1@direct.chc-tacoma.nextgenshare.com
- https://fhir4.healow.com/fhir/r4/HEDCAA
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA60903021 | WA | Yes |
Addresses
Primary practice location
1148 Broadway Ste 100
Tacoma, WA 98402-3518
Mailing address
4311 11TH Ave NE Ste 200
Seattle, WA 98105-6367
Phone (206) 616-4001
Other providers in Tacoma, WA
- Karla Judith Aguilar
- Astrid Aguilera
- Jorge Gabriel Aguilera
- Mark Dean Torres Aguiling
- Douglas Eduardo Aguirre
- Cyrena Lee Aguon-Larson
- Katherine Elizabeth Agyei Yeboah
- Yonatan Ahdut
- Brian Ahern
- David Keith Ahern
All providers in Tacoma, WA · Physician Assistant in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.