Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

MRS. ALISHA ASHURST WALLACE PA-C
NPI 1487627345
Physician Assistant - Surgical in Kirkland, WA

Active since February 10, 2006PECOS Enrolled
72.51/100
CMS Quality Rating
12303 NE 130TH LN STE 450, KIRKLAND, WA 98034(425) 899-6400 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Alisha Ashurst Wallace Pa-c NPPES

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

MRS. ALISHA ASHURST WALLACE PA-C (NPI 1487627345) is an individual surgical provider in Kirkland, Washington, licensed in Washington (PA61642884) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Adventist Health Castle, and is a graduate of University Of Alabama School Of Medicine (1999).

NPPES Registry Identity

NPI1487627345
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMRS. ALISHA ASHURST WALLACECredential: PA-C
Location Address12303 NE 130TH LN STE 450Kirkland, WA 98034-3032
Mailing Address12303 Ne 130th Ln Ste 450Kirkland, WA 98034-3032 · (425) 899-6400
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1999
Enumeration DateFebruary 10, 2006
Last NPPES UpdateJuly 13, 2026
NPPES CertifiedOctober 22, 2025
NPI 1487627345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WA · PA61642884
12303 NE 130TH LN STE 450, Kirkland, WA 98034

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

Mrs. Alisha Ashurst Wallace 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 ID5496777526
PECOS Enrollment IDI20060103000630, I20251010001616
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 3

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

Adventist Health Castle

Acute Care Hospitals · Kailua, HI
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number120006
Location640 Ulukahiki StKailua, HI 96734 · Honolulu County
Emergency services Birthing friendly

Evergreenhealth Monroe

Acute Care Hospitals · Monroe, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500084
Location14701 179th Ave SEMonroe, WA 98272 · Snohomish County
Emergency services

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

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.

72.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality65.64
Promoting Interoperability89
Improvement Activities40
Cost51.91

Other Providers at the Same Location NPPES 6

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

Obstetrics & Gynecology
12303 NE 130TH LN STE 450
KIRKLAND, WA 98034
Obstetrics & Gynecology (Gynecology)
12303 NE 130TH LN STE 450
KIRKLAND, WA 98034
Obstetrics & Gynecology
12303 NE 130TH LN STE 450
KIRKLAND, WA 98034
Obstetrics & Gynecology
12303 NE 130TH LN STE 450
KIRKLAND, WA 98034
Registered Nurse (Registered Nurse First Assistant)
12303 NE 130TH LN STE 450
KIRKLAND, WA 98034
Obstetrics & Gynecology
12303 NE 130TH LN STE 450
KIRKLAND, WA 98034

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 Alisha Wallace's NPI number?

The NPI number for Alisha Wallace is 1487627345. It was assigned to this individual provider in the NPPES registry on February 10, 2006.

Where is Alisha Wallace located?

Alisha Wallace practices at 12303 NE 130th Ln Ste 450, Kirkland, WA 98034. The listed phone number is (425) 899-6400.

What is Alisha Wallace's specialty?

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

Is Alisha Wallace enrolled in Medicare?

Yes. Alisha Wallace 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 Alisha Wallace accept?

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

According to CMS data, Alisha Wallace is affiliated with Adventist Health Castle, Evergreenhealth Monroe and Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Alisha Wallace was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.