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ZACHARY ADAM SULLIVAN PA-C
NPI 1467950782
Physician Assistant in Bonney Lake, WA

Active since February 01, 2018PECOS EnrolledAccepts Medicare Assignment
9230 SKY ISLAND DR E, BONNEY LAKE, WA 98391(253) 750-6000(253) 627-7880 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 18, 2021, Mar 8, 2019 (2 updates tracked since 2019).

About Zachary Adam Sullivan Pa-c NPPES

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

ZACHARY ADAM SULLIVAN PA-C (NPI 1467950782) is an individual physician assistant in Bonney Lake, Washington, licensed in Washington (PA60831973) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with St Clare Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1467950782
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameZACHARY ADAM SULLIVANCredential: PA-C
Location Address9230 SKY ISLAND DR EBonney Lake, WA 98391-7385
Mailing Address9230 Sky Island Dr EBonney Lake, WA 98391-7385 · (253) 750-6000 · Fax (253) 627-7880
Phone(253) 750-6000
Fax(253) 627-7880
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 1, 2018
Last NPPES UpdateJanuary 18, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2021
✔ NPI 1467950782 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 · PA60831973
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.
9230 SKY ISLAND DR E, Bonney Lake, WA 98391
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Other Identifiers 1

Medicaid2097333WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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

Zachary Adam Sullivan 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 ID9133147507
PECOS Enrollment IDI20180530003246
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 Clare Hospital

Acute Care Hospitals · Lakewood, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500021
Location11315 Bridgeport Way S WLakewood, WA 98499 · Pierce County
Emergency services

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98391 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 15

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

DR. CORIE LYNN SANDALL MD
Internal Medicine
9230 SKY ISLAND DR E
BONNEY LAKE, WA 98391
Pierce County (253) 750-6000
DR. FARAH SALEEM MD
Internal Medicine
9230 SKY ISLAND DR E
BONNEY LAKE, WA 98391
Pierce County (253) 750-6000
CHI FRANCISCAN HEALTH SYSTEM
Clinic/Center (Urgent Care)
9230 SKY ISLAND DR E
BONNEY LAKE, WA 98391
Pierce County (253) 750-6000
MEGAN BARKER
Nurse Practitioner (Family)
9230 SKY ISLAND DR E
BONNEY LAKE, WA 98391
Pierce County (253) 750-6000
ALEXANDRA HURTADO DAMMEN PA-C
Physician Assistant (Medical)
9230 SKY ISLAND DR E
BONNEY LAKE, WA 98391
Pierce County (253) 750-6000
ABIGAYLE MARION PATTERSON APRN
Nurse Practitioner (Adult Health)
9230 SKY ISLAND DR E
BONNEY LAKE, WA 98391
Pierce County (253) 750-6000
JOAN C TSANG MD
Pediatrics
9230 SKY ISLAND DR E
BONNEY LAKE, WA 98391
Pierce County (253) 750-6000
NAVAL JEET WALIA MD
Internal Medicine
9230 SKY ISLAND DR E
BONNEY LAKE, WA 98391
Pierce County (253) 750-6000

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 Zachary Sullivan's NPI number?

The NPI number for Zachary Sullivan is 1467950782. It was assigned to this individual provider in the NPPES registry on February 1, 2018.

Where is Zachary Sullivan located?

Zachary Sullivan practices at 9230 Sky Island Dr E, Bonney Lake, WA 98391. The listed phone number is (253) 750-6000.

What is Zachary Sullivan's specialty?

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

Is Zachary Sullivan enrolled in Medicare?

Yes. Zachary Sullivan 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 Zachary Sullivan accept?

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

According to CMS data, Zachary Sullivan is affiliated with St Clare Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Zachary Sullivan was last updated on January 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.