Active NPI
Abigail Goss, PA-C
- Physician Assistant
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61005537
- Practice address
- 709 W Orchard Dr Ste 4
Bellingham, WA 98225-1766 - Phone
- (360) 318-8800
- NPI assigned
- Aug 28, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA61005537 | WA | Primary |
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
709 W Orchard Dr Ste 4
Bellingham, WA 98225-1766
Mailing address
709 W Orchard Dr Ste 4
Bellingham, WA 98225-1766
Phone (360) 318-8800
Other practice location 1
4311 11th Ave NE Ste 200
Seattle, WA 98105-6367
Phone (206) 616-4001
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1610 Grover St
Lynden, WA 98264-1539
3130 Squalicum Pkwy
Bellingham, WA 98225-1940
715 W Orchard Dr
Suite 4
Bellingham, WA 98225-1767
Phone (360) 746-3850
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61005537 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Network PLLC | Current | Accepting new patients | |
| Family Care Network PLLC | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients |
Locations
3130 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 671-4509
4455 Cordata Pkwy
Bellingham, WA 98226
Phone (360) 671-3225
1610 Grover St
Ste D1
Lynden, WA 98264
Phone (360) 312-3785
Interoperability endpoints
- agoss19582@direct.fcn.net
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.
-
- Family Medicine Physician
- Bellingham, WA
- NPI 1427001015
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
-
- Family Medicine Physician
- Bellingham, WA
- NPI 1558952150
-
- Federally Qualified Health Center (FQHC)
- Bellingham, WA
- NPI 1225185648
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1922589787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "709 W ORCHARD DR STE 4",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251766",
"telephone_number": "360-318-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 W ORCHARD DR STE 4",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251766",
"telephone_number": "360-318-8800"
}
],
"practiceLocations": [
{
"address_1": "4311 11th Ave NE Ste 200",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981056367",
"country_code": "US",
"telephone_number": "206-616-4001",
"fax_number": "206-616-3889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOSS",
"first_name": "ABIGAIL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61005537",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.