PRIM PREY KY PA-C
NPI 1487157020
Physician Assistant in Lacey, WA

Active since March 09, 2018PECOS EnrolledAccepts Medicare Assignment
1350 MARVIN RD NE STE D, LACEY, WA 98516(888) 227-3312(360) 413-6509 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 22, 2024, Mar 9, 2018 (2 updates tracked since 2018).

About Prim Prey Ky Pa-c NPPES

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

PRIM PREY KY PA-C (NPI 1487157020) is an individual physician assistant in Lacey, Washington, licensed in Washington (PA60763223) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1487157020
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NamePRIM PREY KYCredential: PA-C
Location Address1350 MARVIN RD NE STE DLacey, WA 98516-3877
Mailing AddressPo Box 2928Portland, OR 97208-2928 · (425) 207-5155
Fax(360) 413-6509
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 9, 2018
Last NPPES UpdateAugust 26, 20242 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
NPI 1487157020 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 · PA60763223
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.
1350 MARVIN RD NE STE D, Lacey, WA 98516

Other Names 1

Former Name (1)Prim Prey Ly

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

Prim Prey Ky 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 ID547522559
PECOS Enrollment IDI20180402000784
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
73 services70 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
23 services22 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
15 services15 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Virginia Mason Medical Center

Acute Care Hospitals · Seattle, WA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500005
Location925 Seneca StSeattle, WA 98101 · King County
Emergency services Birthing friendly

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98516 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 7

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

Nurse Practitioner (Family)
1350 MARVIN RD NE STE D
LACEY, WA 98516
Nurse Practitioner (Family)
1350 MARVIN RD NE STE D
LACEY, WA 98516
Clinic/Center
1350 MARVIN RD NE STE D
LACEY, WA 98516
Optometrist
1350 MARVIN RD NE STE D, PEARLE VISION
LACEY, WA 98516
Physician Assistant
1350 MARVIN RD NE STE D
LACEY, WA 98516
Physician Assistant
1350 MARVIN RD NE STE D
LACEY, WA 98516
General Practice
1350 MARVIN RD NE STE D
LACEY, WA 98516

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 Prim Ky's NPI number?

The NPI number for Prim Ky is 1487157020. It was assigned to this individual provider in the NPPES registry on March 9, 2018. The provider is also known as Prim Prey Ly.

Where is Prim Ky located?

Prim Ky practices at 1350 Marvin Rd NE Ste D, Lacey, WA 98516. The listed phone number is (888) 227-3312.

What is Prim Ky's specialty?

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

Is Prim Ky enrolled in Medicare?

Yes. Prim Ky 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 Prim Ky accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Prim Ky 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 Prim Ky affiliated with any hospitals?

According to CMS data, Prim Ky is affiliated with Virginia Mason Medical Center, St Joseph Medical Center and St Francis Community Hospital.

When was this NPI record last updated?

The NPPES record for Prim Ky was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.