NPIMap

Individual provider Active NPI

Timothy J Pasquarello, PA-C

  • Physician Assistant
  • Bellingham, WA
National Provider Identifier
1952368441
Registry record updated Dec 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60546761 Issued in WA
Practice address
2979 Squalicum Pkwy Ste 101
Peacehealth Cardiology
Bellingham, WA 98225-1813
Phone
(360) 734-2700
Fax
(360) 734-8362
NPI assigned
Apr 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 514 MA
Physician Assistant 363A00000X PA60546761 WA Primary
Physician Assistant 363A00000X PA514 MA

Addresses

Primary practice location

2979 Squalicum Pkwy Ste 101
Peacehealth Cardiology
Bellingham, WA 98225-1813

Mailing address

1115 SE 164TH Ave
Department 358
Vancouver, WA 98683-9324
Phone (360) 729-1394

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028002317 WA Practitioner - Physician Assistant 3870504384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PeacehealthGroup PAC ID 9537073960, 292 clinicians
Peacehealth Medical Group - Sedro WoolleyGroup PAC ID 1456584036, 55 clinicians

Practice addresses (Care Compare)

1017 20TH St
Anacortes, WA 98221-2505
Phone (360) 564-8695

1990 Hospital Dr
Sedro Woolley, WA 98284-9315

2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-9373

3001 Squalicum Pkwy
Suite 14a
Bellingham, WA 98225-1949
Phone (360) 788-6934

3015 Squalicum Pkwy
Bellingham, WA 98225-1906

835 E Fairhaven Ave
Burlington, WA 98233-1916
Phone (360) 755-0641

Hospital & facility affiliations

  • Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
  • Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329
  • Whidbeyhealth Medical Center Hospital, Coupeville, WA, CCN 501339
  • Peacehealth Peace Island Medical Center Hospital, Friday Harbor, WA, CCN 501340
  • Island Hospital Hospital, Anacortes, WA, CCN 500007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
514MAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewater Pediatrics LLC Past Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
Good Samaritan Medical Practice Corp Past Accepting new patients
Jordan Physician Associates, Inc. Past Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tpasquarello193592@direct.peacehealth.org

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1952368441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE",
            "address_2": "DEPARTMENT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839324",
            "telephone_number": "360-729-1394",
            "fax_number": "360-729-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2979 SQUALICUM PKWY STE 101",
            "address_2": "PEACEHEALTH CARDIOLOGY",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251813",
            "telephone_number": "360-734-2700",
            "fax_number": "360-734-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASQUARELLO",
        "first_name": "TIMOTHY",
        "middle_name": "J",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "514",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60546761",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA514",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.