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SUZANNE M. MINER PAC
NPI 1124210612
Physician Assistant in Issaquah, WA

Active since August 17, 2007
75.73/100
CMS Quality Rating
450 NW GILMAN BLVD, SUITE 301A, ISSAQUAH, WA 98027(425) 654-1275(425) 654-0539 Get Directions Write a Review

NPPES record last updated: August 16, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Suzanne M. Miner Pac NPPES

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

SUZANNE M. MINER PAC (NPI 1124210612) is an individual physician assistant in Issaquah, Washington, licensed in Washington (PA10005212) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1124210612
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSUZANNE M. MINERCredential: PAC
Location Address450 NW GILMAN BLVD, SUITE 301AIssaquah, WA 98027-2483
Mailing Address14239 W Bell Rd, Ste 101Surprise, AZ 85374-2470 · (425) 654-1275 · Fax (425) 654-0539
Phone(425) 654-1275
Fax(425) 654-0539
Sole ProprietorNo
Enumeration DateAugust 17, 2007
Last NPPES UpdateAugust 16, 2017
✔ NPI 1124210612 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 · PA10005212
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.
450 NW GILMAN BLVD, Issaquah, WA 98027
Open in Google Maps ↗

Other Names 1

Former Name (1)Suzanne M. Humphryes Pac

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.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.53
Improvement Activities40
Cost25.08

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.

MARIA MADELINE GREENBAUM LMP
Massage Therapist
450 NW GILMAN BLVD, SUITE 201
ISSAQUAH, WA 98027
King County (425) 835-2503
ISSAQUAH FOOT & ANKLE SPECIALISTS, P.L.L.C.
Podiatrist
450 NW GILMAN BLVD, SUITE 303
ISSAQUAH, WA 98027
King County (425) 391-8666
KEYA CHISHOLM FNP-C
Nurse Practitioner (Family)
450 NW GILMAN BLVD, SUITE 201
ISSAQUAH, WA 98027
King County (425) 391-0705
MR. KARL FREDERICK KUNDERT JR. PA-C
Physician Assistant (Medical)
450 NW GILMAN BLVD, SUITE 205
ISSAQUAH, WA 98027
King County (425) 391-3737
ALEXANDER E HONN LMP, NASM CPT
Massage Therapist
450 NW GILMAN BLVD, SUITE 201
ISSAQUAH, WA 98027
King County (425) 835-2503
MS. RHONDA JO RAVANI ARNP
Specialist
450 NW GILMAN BLVD, #203
ISSAQUAH, WA 98027
King County (425) 454-3938
STEPHAN CASSIDY OD PS
Optometrist
450 NW GILMAN BLVD, STE 104
ISSAQUAH, WA 98027
King County (425) 392-8756
KIM PRUESS NEVINS MD PLLC
Internal Medicine
450 NW GILMAN BLVD, STE 301A
ISSAQUAH, WA 98027
King County (425) 391-0313

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 Suzanne Miner's NPI number?

The NPI number for Suzanne Miner is 1124210612. It was assigned to this individual provider in the NPPES registry on August 17, 2007. The provider is also known as Suzanne M. Humphryes Pac.

Where is Suzanne Miner located?

Suzanne Miner practices at 450 NW Gilman Blvd Suite 301A, Issaquah, WA 98027. The listed phone number is (425) 654-1275.

What is Suzanne Miner's specialty?

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

When was this NPI record last updated?

The NPPES record for Suzanne Miner was last updated on August 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.