MARIANNE K MCELROY PA-C NPI 1306860291

NPI Information

NPI: 1306860291
Provider Name: MARIANNE K MCELROY, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
3927 RUCKER AVE
EVERETT, WA
ZIP 98201
Phone: (425) 259-0966
Get Directions

Marianne K Mcelroy, PA-C is a medical physician assistant in Everett, WA. Marianne K Mcelroy, PA-C NPI is 1306860291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3927 RUCKER AVE
EVERETT, WA
ZIP 98201-833
Phone: (425) 259-0966

The NPI 1306860291 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 12/13/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA10003849	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	67370	OTHER	WASHINGTON	REGENCE BLUESHIELD
2	S87038	MEDICARE UPIN	WASHINGTON
3	G8913346	MEDICARE PIN	WASHINGTON
4	GAB10863	MEDICARE PIN	WASHINGTON
5	0970011140	OTHER	WASHINGTON	RAILROAD MEDICARE
6	1007236	MEDICAID	WASHINGTON
7	423898030	OTHER	WASHINGTON	GROUP HEALTH COOPERATIVE
8	8925031	OTHER	WASHINGTON	L&I CRIME VICTIM
9	8321564	MEDICAID	WASHINGTON
10	0131539	OTHER	WASHINGTON	L&I REGULAR

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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