MR. THOMAS RUSSELL PRIESKORN PA-C
NPI 1366421174
Physician Assistant - Medical in Shelton, WA

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment
901 MOUNTAIN VIEW DR, SHELTON, WA 98584(360) 426-1611 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thomas Russell Prieskorn Pa-c NPPES

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

MR. THOMAS RUSSELL PRIESKORN PA-C (NPI 1366421174) is an individual medical provider in Shelton, Washington, licensed in Washington (PA10004942) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mason General Hospital & Family Of Clinics, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1366421174
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. THOMAS RUSSELL PRIESKORNCredential: PA-C
Location Address901 MOUNTAIN VIEW DRShelton, WA 98584-4401
Mailing AddressPo Box 1668Shelton, WA 98584-5001 · (360) 426-1611
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJanuary 10, 2006
Last NPPES UpdateMarch 3, 2015
NPI 1366421174 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 · PA10004942
901 MOUNTAIN VIEW DR, Shelton, WA 98584

Other Identifiers 3

Medicare UPINQ79597
Medicaid8466955WA
Medicare OSCAR/certification8865553WA

Accepted 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

Mr. Thomas Russell Prieskorn 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 ID3476652959
PECOS Enrollment IDI20070625000238
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

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
28 services19 patients

Hospital Affiliations CMS Care Compare

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

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501336
Location901 Mt View DriveShelton, WA 98584 · Mason County
Emergency services

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers27 claims27 services$18.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers29 claims29 services$106.39 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
901 MOUNTAIN VIEW DR
SHELTON, WA 98584
Dietitian, Registered
901 MOUNTAIN VIEW DR
SHELTON, WA 98584
Emergency Medicine
901 MOUNTAIN VIEW DR
SHELTON, WA 98584
Emergency Medicine
901 MOUNTAIN VIEW DR
SHELTON, WA 98584
Pharmacist
901 MOUNTAIN VIEW DR
SHELTON, WA 98584
Pharmacy (Institutional Pharmacy)
901 MOUNTAIN VIEW DR
SHELTON, WA 98584
Physical Therapist
901 MOUNTAIN VIEW DR
SHELTON, WA 98584
Speech-Language Pathologist
901 MOUNTAIN VIEW DR
SHELTON, WA 98584

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 Thomas Prieskorn's NPI number?

The NPI number for Thomas Prieskorn is 1366421174. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Thomas Prieskorn located?

Thomas Prieskorn practices at 901 Mountain View Dr, Shelton, WA 98584. The listed phone number is (360) 426-1611.

What is Thomas Prieskorn's specialty?

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

Is Thomas Prieskorn enrolled in Medicare?

Yes. Thomas Prieskorn 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 Thomas Prieskorn accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Thomas Prieskorn 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 Thomas Prieskorn affiliated with any hospitals?

According to CMS data, Thomas Prieskorn is affiliated with Mason General Hospital & Family Of Clinics.

When was this NPI record last updated?

The NPPES record for Thomas Prieskorn was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.