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SYDNEY FOUNTAIN PA-C
NPI 1356050744
Physician Assistant in Centralia, WA

Active since November 15, 2022PECOS EnrolledAccepts Medicare Assignment
1000 S SCHEUBER RD, CENTRALIA, WA 98531(360) 330-8950(360) 330-8955 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Nov 15, 2022 (2 updates tracked since 2022).

About Sydney Fountain Pa-c NPPES

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

SYDNEY FOUNTAIN PA-C (NPI 1356050744) is an individual physician assistant in Centralia, Washington, licensed in Washington (PA61514013) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Providence Centralia Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356050744
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSYDNEY FOUNTAINCredential: PA-C
Location Address1000 S SCHEUBER RDCentralia, WA 98531-8877
Mailing AddressPo Box 3360Portland, OR 97208-3360
Phone(360) 330-8950
Fax(360) 330-8955
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 15, 2022
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
✔ NPI 1356050744 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 · PA61514013
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.
1000 S SCHEUBER RD, Centralia, WA 98531
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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

Sydney Fountain 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 ID2860863339
PECOS Enrollment IDI20240418003762
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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
26 services26 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
24 services24 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.
23 services23 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
21 services17 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.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Providence Centralia Hospital

Acute Care Hospitals · Centralia, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500019
Location914 S Scheuber RoadCentralia, WA 98531 · Lewis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98531 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 13

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

MARK NISHIYAMA MD
Obstetrics & Gynecology
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950
BEVERLY ANN HUDDLESTON ARNP
Nurse Practitioner (Obstetrics & Gynecology)
1000 S SCHEUBER RD, PMG SW WA CENTRALIA WOMEN CENTER
CENTRALIA, WA 98531
Lewis County (360) 330-8950
LAURIE STUART RNC
Registered Nurse (Registered Nurse First Assistant)
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950
ELISHA MVUNDURA MD
Obstetrics & Gynecology
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950
MOHAMMED AL QARAGHOULI M.D.
Obstetrics & Gynecology
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950
EVELYN S ESTRADA MD
Obstetrics & Gynecology
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950
KRISTINE R GUYETTE RN
Registered Nurse (Registered Nurse First Assistant)
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950
RITU KAUR BUTTAR
Student in an Organized Health Care Education/Training Program
1000 S SCHEUBER RD
CENTRALIA, WA 98531
Lewis County (360) 330-8950

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 Sydney Fountain's NPI number?

The NPI number for Sydney Fountain is 1356050744. It was assigned to this individual provider in the NPPES registry on November 15, 2022.

Where is Sydney Fountain located?

Sydney Fountain practices at 1000 S Scheuber Rd, Centralia, WA 98531. The listed phone number is (360) 330-8950.

What is Sydney Fountain's specialty?

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

Is Sydney Fountain enrolled in Medicare?

Yes. Sydney Fountain 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.

What insurance does Sydney Fountain accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sydney Fountain 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.

Is Sydney Fountain affiliated with any hospitals?

According to CMS data, Sydney Fountain is affiliated with Providence Centralia Hospital.

When was this NPI record last updated?

The NPPES record for Sydney Fountain was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.