MRS. ELIZABETH A ELDENBURG PA-C
NPI 1447720974
Physician Assistant - Surgical in Federal Way, WA

Q: What is Elizabeth Eldenburg's NPI number?

The NPI number for Elizabeth Eldenburg is 1447720974. It was assigned to this individual provider in the NPPES registry on November 27, 2018. The provider is also known as Ms. Elizabeth A Granada.

Q: What is Elizabeth Eldenburg's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Active since November 27, 2018PECOS EnrolledAccepts Medicare Assignment

34509 9TH AVE S STE 204, FEDERAL WAY, WA 98003(253) 835-5510(253) 835-5511 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2021, Nov 27, 2018 (2 updates tracked since 2018).

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About Mrs. Elizabeth A Eldenburg Pa-c NPPES

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

MRS. ELIZABETH A ELDENBURG PA-C (NPI 1447720974) is an individual surgical provider in Federal Way, Washington, licensed in Washington (PA60910425) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1447720974

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMRS. ELIZABETH A ELDENBURGCredential: PA-C

Location Address34509 9TH AVE S STE 204Federal Way, WA 98003-8708

Mailing Address34509 9th Ave S Ste 204Federal Way, WA 98003-8708 · (253) 835-5510 · Fax (253) 835-5511

Phone(253) 835-5510

Fax(253) 835-5511

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateNovember 27, 2018

Last NPPES UpdateApril 19, 20212 updates tracked since enumeration

NPPES CertifiedApril 19, 2021

✔ NPI 1447720974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in WA · PA60910425✔ Licensed in WA · 60910425

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA60910425 (WA)

34509 9TH AVE S STE 204, Federal Way, WA 98003

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Other Names 1

Former Name (1)Ms. Elizabeth A Granada

Secondary Practice Location 1

Location 1505 NE 87th Ave Ste 250Vancouver, WA 98664-1965 · Phone (360) 514-1010

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

Mrs. Elizabeth A Eldenburg 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 ID6901143247

PECOS Enrollment IDI20190124003285

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.

Hospital Affiliations CMS Care Compare 2

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

St Joseph Medical Center

Acute Care Hospitals · Tacoma, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500108

Location1717 South J StreetTacoma, WA 98405 · Pierce County

Emergency services Birthing friendly

St Francis Community Hospital

Acute Care Hospitals · Federal Way, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500141

Location34515 9th Avenue SFederal Way, WA 98003 · King County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 16

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

AIMEE EDMUNDS PAC

Physician Assistant