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MARIEL CHAN MD
NPI 1033787767
Student in an Organized Health Care Education/Training Program in Elma, WA

Active since June 17, 2021PECOS Enrolled
600 E. MAIN STREET, ELMA, WA 98541(360) 346-2222(360) 346-2157 Get Directions Write a Review

NPPES record last updated: October 5, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 5, 2021, Jun 17, 2021 (2 updates tracked since 2021).

About Mariel Chan Md NPPES

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

MARIEL CHAN MD (NPI 1033787767) is an individual student in an organized health care education/training program in Elma, Washington and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033787767
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARIEL CHANCredential: MD
Location Address600 E. MAIN STREETElma, WA 98541
Mailing AddressSummit Pacific Medical Center, 600 E. Main StreetElma, WA 98541 · (360) 346-2222
Phone(360) 346-2222
Fax(360) 346-2157
Sole ProprietorNo
Enumeration DateJune 17, 2021
Last NPPES UpdateOctober 5, 20212 updates tracked since enumeration
NPPES CertifiedOctober 5, 2021
✔ NPI 1033787767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
600 E. MAIN STREET, Elma, WA 98541
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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)

Mariel Chan Md 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 9

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

MS. TAMMY H. MOORE ARNP
Nurse Practitioner (Primary Care)
600 E. MAIN STREET
ELMA, WA 98541
Grays Harbor County (360) 495-3244
ZOE DAEE
Student in an Organized Health Care Education/Training Program
600 E. MAIN STREET
ELMA, WA 98541
Grays Harbor County (360) 346-2239
MS. MARY ELLEN BIGGERSTAFF ARNP
Nurse Practitioner (Family)
600 E. MAIN STREET
ELMA, WA 98541
Grays Harbor County (360) 495-3244
GRAYS HARBOR PUBLIC HOSPITAL DISTRICT NO 1
Family Medicine
600 E. MAIN STREET
ELMA, WA 98541
Grays Harbor County (360) 495-3500
MS. BONNIE J. MCREYNOLDS ARNP
Nurse Practitioner
600 E. MAIN STREET
ELMA, WA 98541
Grays Harbor County (360) 346-2222
DR. BENJAMIN E. GOOD M.D.
Emergency Medicine
600 E. MAIN STREET
ELMA, WA 98541
Grays Harbor County (360) 346-2222
GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1
General Acute Care Hospital (Critical Access)
600 E. MAIN STREET
ELMA, WA 98541
Grays Harbor County (360) 495-3244
GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1
Medicare Defined Swing Bed Unit
600 E. MAIN STREET
ELMA, WA 98541
Grays Harbor County (360) 495-3244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mariel Chan's NPI number?

The NPI number for Mariel Chan is 1033787767. It was assigned to this individual provider in the NPPES registry on June 17, 2021.

Where is Mariel Chan located?

Mariel Chan practices at 600 E. Main Street, Elma, WA 98541. The listed phone number is (360) 346-2222.

What is Mariel Chan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Mariel Chan enrolled in Medicare?

Yes. Mariel Chan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariel Chan was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.