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MR. MARK ALLAN GREENWALT PA-C
NPI 1083435424
Physician Assistant - Medical in Tacoma, WA

Active since October 18, 2024PECOS EnrolledAccepts Medicare Assignment
9505 S STEELE ST, TACOMA, WA 98444(253) 597-6800 Get Directions Write a Review

NPPES record last updated: November 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Mark Allan Greenwalt Pa-c NPPES

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

MR. MARK ALLAN GREENWALT PA-C (NPI 1083435424) is an individual medical provider in Tacoma, Washington, licensed in Washington (PA61611340) and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1083435424
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. MARK ALLAN GREENWALTCredential: PA-C
Location Address9505 S STEELE STTacoma, WA 98444-1858
Mailing Address9505 S Steele StTacoma, WA 98444-1858 · (253) 597-6800
Phone(253) 597-6800
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 18, 2024
Last NPPES UpdateNovember 20, 2024
NPPES CertifiedNovember 20, 2024
✔ NPI 1083435424 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
License✔ Licensed in WA · PA61611340
9505 S STEELE ST, Tacoma, WA 98444
Open in Google Maps ↗

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

Mr. Mark Allan Greenwalt 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 ID2769910785
PECOS Enrollment IDI20250103002251
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.

ANDREA E. SANDHAWALIA CASE MANAGER
Case Manager/Care Coordinator
9505 S STEELE ST
TACOMA, WA 98444
Pierce County (253) 597-6825
WANDA T GUSTAFSON
Pharmacist
9505 S STEELE ST
TACOMA, WA 98444
Pierce County (253) 597-6800
MUBARAK ADETOYE AKADRI MD
Internal Medicine
9505 S STEELE ST
TACOMA, WA 98444
Pierce County (253) 597-6800
DR. SHEREE SHARPE M.D.
Family Medicine
9505 S STEELE ST
TACOMA, WA 98444
Pierce County (253) 597-6800
RAY H. KRUEGER M.D.
Family Medicine
9505 S STEELE ST
TACOMA, WA 98444
Pierce County (253) 597-6800
DR. JOEL JESUS PAULINO M.D.
Internal Medicine
9505 S STEELE ST
TACOMA, WA 98444
Pierce County (253) 597-6800
DR. SHAUNA MARIE LAWLIS M.D.
Pediatrics (Adolescent Medicine)
9505 S STEELE ST
TACOMA, WA 98444
Pierce County (253) 597-6800
MATTHEW CHRISTOPHER MEYER D.P.T.
Physical Therapist
9505 S STEELE ST
TACOMA, WA 98444
Pierce County (253) 597-6800

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 Mark Greenwalt's NPI number?

The NPI number for Mark Greenwalt is 1083435424. It was assigned to this individual provider in the NPPES registry on October 18, 2024.

Where is Mark Greenwalt located?

Mark Greenwalt practices at 9505 S Steele St, Tacoma, WA 98444. The listed phone number is (253) 597-6800.

What is Mark Greenwalt's specialty?

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

Is Mark Greenwalt enrolled in Medicare?

Yes. Mark Greenwalt 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.

When was this NPI record last updated?

The NPPES record for Mark Greenwalt was last updated on November 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.