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CASCADIAN PLASTIC SURGERY PLLC
NPI 1396447876
Surgery - Plastic and Reconstructive Surgery in Wenatchee, WA

Active since March 20, 2023
14 N MISSION ST STE 201, WENATCHEE, WA 98801(509) 596-0096(509) 596-0225 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2026, Jan 28, 2026, Sep 13, 2024 and 1 more (4 updates tracked since 2023).

About Cascadian Plastic Surgery Pllc NPPES

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

CASCADIAN PLASTIC SURGERY PLLC (NPI 1396447876) is a healthcare organization registered as a plastic and reconstructive surgery in Wenatchee, Washington and active in the NPI registry since March 2023. The organization lists Jungwon Genevieve Park, Physician, as its authorized official.

NPPES Registry Identity

NPI1396447876
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameCASCADIAN PLASTIC SURGERY PLLC
Location Address14 N MISSION ST STE 201Wenatchee, WA 98801-2250
Mailing Address14 N Mission St Ste 201Wenatchee, WA 98801-2250 · (509) 596-0096 · Fax (509) 596-0225
Phone(509) 596-0096
Fax(509) 596-0225
Organization SubpartNo
Authorized OfficialJungwon Genevieve ParkPhysician · (509) 596-0096
Enumeration DateMarch 20, 2023
Last NPPES UpdateApril 8, 20264 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1396447876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
14 N MISSION ST STE 201, Wenatchee, WA 98801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cascadian Plastic Surgery Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cascadian Plastic Surgery PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jungwon Park, M.D., PH.D.
Plastic and Reconstructive Surgery
NPI 1285080846
14 N MISSION ST STE 201
Wenatchee, WA 98801
(509) 596-0096
✔ PECOS✔ Accepts MedicareSame address

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

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 Cascadian Plastic Surgery PLLC's NPI number?

The NPI number for Cascadian Plastic Surgery PLLC is 1396447876. It was assigned to this organization in the NPPES registry on March 20, 2023.

Where is Cascadian Plastic Surgery PLLC located?

Cascadian Plastic Surgery PLLC is located at 14 N Mission St Ste 201, Wenatchee, WA 98801. The listed phone number is (509) 596-0096.

What is Cascadian Plastic Surgery PLLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Cascadian Plastic Surgery PLLC enrolled in Medicare?

Yes. Cascadian Plastic Surgery PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cascadian Plastic Surgery PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Cascadian Plastic Surgery PLLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Cascadian Plastic Surgery PLLC was last updated on April 8, 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.