ALEXANDRA HURTADO DAMMEN PA-C
NPI 1154804854
Physician Assistant - Medical in Bonney Lake, WA

Q: What is Alexandra Dammen's NPI number?

The NPI number for Alexandra Dammen is 1154804854. It was assigned to this individual provider in the NPPES registry on September 10, 2018. The provider is also known as Alexandra Hurtado Dammen Pa-C.

Q: What is Alexandra Dammen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alexandra Dammen was last updated on January 9, 2025. 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.

Active since September 10, 2018PECOS EnrolledAccepts Medicare Assignment

86.27/100

CMS Quality Rating

9230 SKY ISLAND DR E, BONNEY LAKE, WA 98391(253) 750-6000(253) 750-6100 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jan 9, 2025, Oct 21, 2019, Sep 12, 2019 and 3 more (6 updates tracked since 2018).

On this page

About Alexandra Hurtado Dammen Pa-c NPPES

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

ALEXANDRA HURTADO DAMMEN PA-C (NPI 1154804854) is an individual medical provider in Bonney Lake, Washington, licensed in Washington (PA61001213) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154804854

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameALEXANDRA HURTADO DAMMENCredential: PA-C

Location Address9230 SKY ISLAND DR EBonney Lake, WA 98391-7385

Mailing Address9230 Sky Island Dr EBonney Lake, WA 98391-7385 · (253) 750-6000 · Fax (253) 750-6100

Phone(253) 750-6000

Fax(253) 750-6100

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 10, 2018

Last NPPES UpdateJanuary 9, 20256 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1154804854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WA · PA61001213

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA61001213 (WA)

9230 SKY ISLAND DR E, Bonney Lake, WA 98391

Open in Google Maps ↗

Other Names 1

Professional Name (2)Alexandra Hurtado Dammen Pa-c

Other Identifiers 2

Medicaid2143588WA

Other591443WA · Labor & Industries

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Alexandra Hurtado Dammen 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 ID840623955

PECOS Enrollment IDI20251015001263

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 5

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.

49 services49 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

34 services34 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

12 services12 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500108

Location1717 South J StreetTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

St Francis Community Hospital

Acute Care Hospitals · Federal Way, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500141

Location34515 9th Avenue SFederal Way, WA 98003 · King County

Emergency services Birthing friendly

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.

86.27/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

75.36

Improvement Activities

Other Providers at the Same Location NPPES 15

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

DR. CORIE LYNN SANDALL MD

Internal Medicine