DESLA REY MANTEUFFEL PA-C
NPI 1477801124
Physician Assistant in Seattle, WA

Active since August 28, 2012PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
901 BOREN AVE STE 1650, SEATTLE, WA 98104(206) 215-6221(206) 215-6340 Get Directions Write a Review

NPPES record last updated: December 2, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 2, 2022, May 8, 2020, Feb 10, 2016 (3 updates tracked since 2016).

About Desla Rey Manteuffel Pa-c NPPES

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

DESLA REY MANTEUFFEL PA-C (NPI 1477801124) is an individual physician assistant in Seattle, Washington, licensed in Washington (PA61042077) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1477801124
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDESLA REY MANTEUFFELCredential: PA-C
Location Address901 BOREN AVE STE 1650Seattle, WA 98104-3508
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Fax(206) 215-6340
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 28, 2012
Last NPPES UpdateDecember 2, 20223 updates tracked since enumeration
NPPES CertifiedDecember 2, 2022
NPI 1477801124 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 · PA61042077
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.

901 BOREN AVE STE 1650, Seattle, WA 98104

Other Names 1

Former Name (1)Desla Rey Phillips Pa-c

Other Identifiers 1

Medicaid2154963WA

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

Desla Rey Manteuffel 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 ID7517263353
PECOS Enrollment IDI20200501000732
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

Other Providers at the Same Location NPPES 4

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

Specialist
901 BOREN AVE STE 1650
SEATTLE, WA 98104
Clinic/Center (Ambulatory Surgical)
901 BOREN AVE STE 1650
SEATTLE, WA 98104
Registered Nurse
901 BOREN AVE STE 1650
SEATTLE, WA 98104
Registered Nurse (Medical-Surgical)
901 BOREN AVE STE 1650
SEATTLE, WA 98104

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 Desla Manteuffel's NPI number?

The NPI number for Desla Manteuffel is 1477801124. It was assigned to this individual provider in the NPPES registry on August 28, 2012. The provider is also known as Desla Rey Phillips Pa-C.

Where is Desla Manteuffel located?

Desla Manteuffel practices at 901 Boren Ave Ste 1650, Seattle, WA 98104. The listed phone number is (206) 215-6221.

What is Desla Manteuffel's specialty?

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

Is Desla Manteuffel enrolled in Medicare?

Yes. Desla Manteuffel 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 Desla Manteuffel accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Desla Manteuffel 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.

When was this NPI record last updated?

The NPPES record for Desla Manteuffel was last updated on December 2, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.