Individual provider Active NPI

Gregory B Bickel, PA-C

  • Physician Assistant
  • Yakima, WA
National Provider Identifier
1982763785
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA10003810 Issued in WA
Practice address
3810 Kern Way Ste B
Yakima, WA 98902-7805
Phone
(509) 228-7237
Fax
(844) 315-7388
NPI assigned
Dec 7, 2006
Last updated
Oct 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA10003810 WA Primary

Addresses

Primary practice location

3810 Kern Way Ste B
Yakima, WA 98902-7805

Mailing address

3810 Kern Way Ste B
Yakima, WA 98902-7805
Phone (509) 228-7237

Other identifiers 1

IdentifierTypeStateIssuer
PA10003810OtherWALICENSE NUMBER

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000363 WA Practitioner - Physician Assistant 6103879952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Compassion Family Medicine PLLCGroup PAC ID 1658605621, 3 clinicians

Practice addresses (Care Compare)

3810 Kern Way
Suite B
Yakima, WA 98902-7805
Phone (509) 228-7237

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunnyside Family Medicine, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cfm.gregorybickel@149883.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/3721/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1982763785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 KERN WAY STE B",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027805",
            "telephone_number": "509-228-7237",
            "fax_number": "844-315-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810 KERN WAY STE B",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989027805",
            "telephone_number": "509-228-7237",
            "fax_number": "844-315-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICKEL",
        "first_name": "GREGORY",
        "middle_name": "B",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10003810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PA10003810",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yakima, WA

Sources for this page

Verify at the official NPI Registry.