MR. DUSTIN NOAH TAWATAO FNP-C
NPI 1487044723
Nurse Practitioner - Family in Vancouver, WA

Active since January 26, 2015PECOS EnrolledAccepts Medicare Assignment
12607 SE MILL PLAIN BLVD, VANCOUVER, WA 98684(800) 813-2000 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mr. Dustin Noah Tawatao Fnp-c NPPES

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

MR. DUSTIN NOAH TAWATAO FNP-C (NPI 1487044723) is an individual family provider in Vancouver, Washington, licensed in Washington (AP60699819) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1487044723
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DUSTIN NOAH TAWATAOCredential: FNP-C
Location Address12607 SE MILL PLAIN BLVDVancouver, WA 98684-6055
Mailing Address12607 Se Mill Plain BlvdVancouver, WA 98684-6055 · (800) 813-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 26, 2015
Last NPPES UpdateDecember 22, 2021
NPPES CertifiedDecember 22, 2021
✔ NPI 1487044723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in WA · AP60699819✔ Licensed in CA · 95001918
Also ListedRegistered NurseTaxonomy 163W00000X · License 784688 (CA)
12607 SE MILL PLAIN BLVD, Vancouver, WA 98684

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Dustin Noah Tawatao Fnp-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 ID7113244187
PECOS Enrollment IDI20190103000826
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.

Medicare Billing Reassignment

Medicare enrollment records show Dustin Tawatao reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Oncology, Radiation
3620 N INTERSTATE AVE
Portland, OR 97227
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98684 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
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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 20

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

Counselor (Addiction (Substance Use Disorder))
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Emergency Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Optometrist
12607 SE MILL PLAIN BLVD, KAISER PERMANENTE CASCADE PARK MEDICAL FACILITY
VANCOUVER, WA 98684
Counselor (Mental Health)
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Family Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684
Internal Medicine
12607 SE MILL PLAIN BLVD
VANCOUVER, WA 98684

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 Dustin Tawatao's NPI number?

The NPI number for Dustin Tawatao is 1487044723. It was assigned to this individual provider in the NPPES registry on January 26, 2015.

Where is Dustin Tawatao located?

Dustin Tawatao practices at 12607 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (800) 813-2000.

What is Dustin Tawatao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dustin Tawatao enrolled in Medicare?

Yes. Dustin Tawatao 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.

Which organization bills Medicare for Dustin Tawatao's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Tawatao reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). The 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 Dustin Tawatao's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dustin Tawatao was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.