1. Home
  2. Directory
  3. Washington
  4. Everett
  5. Physician Assistant
  6. NPI Profile

MICHELLE M LYDSTON PA-C
NPI 1194746222
Physician Assistant in Everett, WA

Active since July 22, 2006PECOS Enrolled
12800 BOTHELL EVERETT HWY, EVERETT, WA 98208(425) 316-5150 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2021, Sep 13, 2018 (2 updates tracked since 2018).

About Michelle M Lydston Pa-c NPPES

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

MICHELLE M LYDSTON PA-C (NPI 1194746222) is an individual physician assistant in Everett, Washington, licensed in Washington (PA10004803) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1194746222
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMICHELLE M LYDSTONCredential: PA-C
Location Address12800 BOTHELL EVERETT HWYEverett, WA 98208
Mailing AddressPo Box 3360Portland, OR 97208-3360 · (866) 747-2455
Phone(425) 316-5150
Sole ProprietorNo
Enumeration DateJuly 22, 2006
Last NPPES UpdateJune 16, 20212 updates tracked since enumeration
NPPES CertifiedJune 16, 2021
✔ NPI 1194746222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA10004803
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.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA10004803 (WA)
12800 BOTHELL EVERETT HWY, Everett, WA 98208
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18301 161st Ave NE, Suite 105Redmond, WA 98052-3858 · Phone (425) 883-3333 · Fax (425) 869-4854
Location 219200 N Kelsey StMonroe, WA 98272-1431 · Phone (360) 794-7994 · Fax (425) 259-8600

Other Identifiers 1

Medicaid8472219WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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 (PECOS)

Michelle M Lydston Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98208 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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.

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.

DR. TASNEEM ABBAS SHIKARY MD
Otolaryngology
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Snohomish County (425) 316-5100
PROVIDENCE HEALTH & SERVICES - WASHINGTON
General Practice
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Snohomish County (425) 316-5150
RANDALL S. REIMER MD
Internal Medicine
12800 BOTHELL EVERETT HWY, SUITE 180
EVERETT, WA 98208
Snohomish County (425) 316-5130
THERESA MARIE SKURNIK ARNP
Nurse Practitioner
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Snohomish County (425) 316-5150
CARL GANNON PA
Nurse Practitioner (Family)
12800 BOTHELL EVERETT HWY
EVERETT, WA 98208
Snohomish County (425) 316-5180
LEE R ARGUE MD
Family Medicine
12800 BOTHELL EVERETT HWY, SUITE 160
EVERETT, WA 98208
Snohomish County (425) 316-5180
GARY DALE MONTGOMERY PA-C
Physician Assistant
12800 BOTHELL EVERETT HWY, STE A
EVERETT, WA 98208
Snohomish County (425) 316-5150
DAVID L. ERICKSON MD
Internal Medicine
12800 BOTHELL EVERETT HWY, SUITE 120
EVERETT, WA 98208
Snohomish County (425) 316-5150

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 Michelle Lydston's NPI number?

The NPI number for Michelle Lydston is 1194746222. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Where is Michelle Lydston located?

Michelle Lydston practices at 12800 Bothell Everett Hwy, Everett, WA 98208. The listed phone number is (425) 316-5150.

What is Michelle Lydston's specialty?

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

Is Michelle Lydston enrolled in Medicare?

Yes. Michelle Lydston is registered in the Medicare PECOS enrollment system.

What insurance does Michelle Lydston accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Michelle Lydston 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.

When was this NPI record last updated?

The NPPES record for Michelle Lydston was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.