NERINA TERESA MCDONALD PA-C
NPI 1043863798
Physician Assistant in Seattle, WA

Active since July 22, 2019PECOS EnrolledAccepts Medicare Assignment
93.09/100
CMS Quality Rating
825 EASTLAKE AVE E, SEATTLE, WA 98109(206) 520-5000 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 30, 2019, Jul 22, 2019 (2 updates tracked since 2019).

About Nerina Teresa Mcdonald Pa-c NPPES

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

NERINA TERESA MCDONALD PA-C (NPI 1043863798) is an individual physician assistant in Seattle, Washington, licensed in Washington (PA60988534) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Island Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1043863798
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNERINA TERESA MCDONALDCredential: PA-C
Location Address825 EASTLAKE AVE ESeattle, WA 98109-4405
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · (206) 520-5700
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 22, 2019
Last NPPES UpdateSeptember 30, 20192 updates tracked since enumeration
NPI 1043863798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA60988534
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
825 EASTLAKE AVE E, Seattle, WA 98109

Other Identifiers 1

Medicaid1043863798WA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nerina Teresa Mcdonald Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3072845379
PECOS Enrollment IDI20191105001730
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
153 services114 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
46 services35 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Island Hospital

Acute Care Hospitals · Anacortes, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500007
Location1211 24th StreetAnacortes, WA 98221 · Skagit County
Emergency services Birthing friendly

University Of Washington Medical Ctr

Acute Care Hospitals · Seattle, WA
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number500008
Location1959 NE Pacific St Box 356151Seattle, WA 98195 · King County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Hematology)
825 EASTLAKE AVE E
SEATTLE, WA 98109
Pathology (Anatomic Pathology & Clinical Pathology)
825 EASTLAKE AVE E
SEATTLE, WA 98109
Nurse Practitioner (Pediatrics)
825 EASTLAKE AVE E
SEATTLE, WA 98109
Internal Medicine (Medical Oncology)
825 EASTLAKE AVE E
SEATTLE, WA 98109
Physician Assistant
825 EASTLAKE AVE E
SEATTLE, WA 98109
Surgery
825 EASTLAKE AVE E
SEATTLE, WA 98109
Physician Assistant
825 EASTLAKE AVE E
SEATTLE, WA 98109
Nurse Practitioner (Women's Health)
825 EASTLAKE AVE E
SEATTLE, WA 98109

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 Nerina Mcdonald's NPI number?

The NPI number for Nerina Mcdonald is 1043863798. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Nerina Mcdonald located?

Nerina Mcdonald practices at 825 Eastlake Ave E, Seattle, WA 98109. The listed phone number is (206) 520-5000.

What is Nerina Mcdonald's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nerina Mcdonald enrolled in Medicare?

Yes. Nerina Mcdonald is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nerina Mcdonald accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nerina Mcdonald as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nerina Mcdonald affiliated with any hospitals?

According to CMS data, Nerina Mcdonald is affiliated with Island Hospital, University Of Washington Medical Ctr and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Nerina Mcdonald was last updated on September 30, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.