ANDREW MUSGRAVE PA-C
NPI 1154165249
Physician Assistant - Medical in Longview, WA

Active since June 24, 2024PECOS EnrolledAccepts Medicare Assignment
1615 DELAWARE ST, LONGVIEW, WA 98632(855) 333-6947 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2025, Jun 24, 2024 (2 updates tracked since 2024).

About Andrew Musgrave Pa-c NPPES

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

ANDREW MUSGRAVE PA-C (NPI 1154165249) is an individual medical provider in Longview, Washington, licensed in Washington (PA.PA.70046904) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154165249
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameANDREW MUSGRAVECredential: PA-C
Location Address1615 DELAWARE STLongview, WA 98632-2367
Mailing Address1945 Nw Raleigh StPortland, OR 97209-1714 · (808) 295-9821
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 24, 2024
Last NPPES UpdateNovember 18, 20252 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
NPI 1154165249 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 · PA.PA.70046904
1615 DELAWARE ST, Longview, WA 98632

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Andrew Musgrave 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 ID4284116310
PECOS Enrollment IDI20260306001276
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.

Hospital Affiliations CMS Care Compare

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

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500041
Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County
Emergency services Birthing friendly

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.

Radiology (Radiation Oncology)
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Internal Medicine (Hematology)
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Anesthetist, Certified Registered
1615 DELAWARE ST
LONGVIEW, WA 98632
Pharmacist
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Pharmacist
1615 DELAWARE ST
LONGVIEW, WA 98632
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632

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 Andrew Musgrave's NPI number?

The NPI number for Andrew Musgrave is 1154165249. It was assigned to this individual provider in the NPPES registry on June 24, 2024.

Where is Andrew Musgrave located?

Andrew Musgrave practices at 1615 Delaware St, Longview, WA 98632. The listed phone number is (855) 333-6947.

What is Andrew Musgrave's specialty?

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

Is Andrew Musgrave enrolled in Medicare?

Yes. Andrew Musgrave 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.

Is Andrew Musgrave affiliated with any hospitals?

According to CMS data, Andrew Musgrave is affiliated with Peacehealth St John Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Musgrave was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.