MEKKO KAMARA GILLEN PA-C
NPI 1033744552
Physician Assistant - Medical in Tacoma, WA

Q: What is Mekko Gillen's NPI number?

The NPI number for Mekko Gillen is 1033744552. It was assigned to this individual provider in the NPPES registry on March 4, 2020.

Q: What is Mekko Gillen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Mekko Gillen was last updated on February 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 04, 2020PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-1110 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 27, 2023, Mar 4, 2020 (2 updates tracked since 2020).

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About Mekko Kamara Gillen Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEKKO KAMARA GILLEN PA-C (NPI 1033744552) is an individual medical provider in Tacoma, Washington and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033744552

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMEKKO KAMARA GILLENCredential: PA-C

Location Address9040 JACKSON AVETacoma, WA 98431-7324

Mailing Address2817 Reilly StFort Bragg, NC 28310-7324 · (910) 907-6069

Phone(253) 968-1110

Sole ProprietorYes

Enumeration DateMarch 4, 2020

Last NPPES UpdateFebruary 27, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 27, 2023

✔ NPI 1033744552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

9040 JACKSON AVE, Tacoma, WA 98431

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mekko Kamara Gillen Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered