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DEJENE ALEMAYEHU SATECHA
NPI 1336016294
Student in an Organized Health Care Education/Training Program in Vancouver, WA

Active since October 23, 2025PECOS Enrolled
7410 DELAWARE LN UPPR LEVEL, VANCOUVER, WA 98664(360) 566-4402(360) 566-4406 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dejene Alemayehu Satecha NPPES

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

DEJENE ALEMAYEHU SATECHA (NPI 1336016294) is an individual student in an organized health care education/training program in Vancouver, Washington and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1336016294
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEJENE ALEMAYEHU SATECHA
Location Address7410 DELAWARE LN UPPR LEVELVancouver, WA 98664-1408
Mailing Address9710 State AveMarysville, WA 98270-2232
Phone(360) 566-4402
Fax(360) 566-4406
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 23, 2025
Last NPPES UpdateApril 9, 2026
NPPES CertifiedApril 9, 2026
✔ NPI 1336016294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
7410 DELAWARE LN UPPR LEVEL, Vancouver, WA 98664
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11112 S Cushman AveTacoma, WA 98405-3631 · Phone (253) 593-2144 · Fax (253) 346-6725
Location 24111 Alderwood Mall BlvdLynnwood, WA 98036-6765 · Phone (425) 616-4100 · Fax (425) 616-4115
Location 39710 State AveMarysville, WA 98270-2232 · Phone (425) 616-4100 ext. 33215 · Fax (425) 616-4115

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dejene Alemayehu Satecha is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698254829
PECOS Enrollment IDI20260209002173
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.

Medicare Billing Reassignment

Medicare enrollment records show Dejene Satecha reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sea Mar Community Health Centers
Same address
Federally Qualified Health Center (FQHC)
7410 DELAWARE LN
Vancouver, WA 98664
  • Reassigned Medicare billing, Washington enrollment
  • 525 clinicians in this Medicare group
NPI 1548318868 (360) 566-4402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

ANDREA VALLEJO CARNIE M.D.
Family Medicine
7410 DELAWARE LN UPPR LEVEL
VANCOUVER, WA 98664
Clark County (360) 566-4402
MICHELLE M MCGUIRE RD
Dietitian, Registered
7410 DELAWARE LN UPPR LEVEL
VANCOUVER, WA 98664
Clark County (605) 664-4023
WILHELMINA MATIENZO SANTIAGO M.D.
Pediatrics
7410 DELAWARE LN UPPR LEVEL
VANCOUVER, WA 98664
Clark County (360) 566-4402
KRISTA F ROSCOE ARNP
Nurse Practitioner (Family)
7410 DELAWARE LN UPPR LEVEL
VANCOUVER, WA 98664
Clark County (360) 566-4402

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 Dejene Satecha's NPI number?

The NPI number for Dejene Satecha is 1336016294. It was assigned to this individual provider in the NPPES registry on October 23, 2025.

Where is Dejene Satecha located?

Dejene Satecha practices at 7410 Delaware Ln Uppr Level, Vancouver, WA 98664. The listed phone number is (360) 566-4402.

What is Dejene Satecha's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dejene Satecha enrolled in Medicare?

Yes. Dejene Satecha is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dejene Satecha's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dejene Satecha reassigns Medicare benefits to Sea Mar Community Health Centers (Vancouver, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dejene Satecha's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dejene Satecha was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.