1. Home
  2. Directory
  3. Washington
  4. Everett
  5. Physician Assistant
  6. NPI Profile

MR. TANNER JAMES VICK PA-C
NPI 1487632667
Physician Assistant - Surgical in Everett, WA

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
1330 ROCKEFELLER AVE, STE 520, EVERETT, WA 98201(425) 297-5200(425) 297-5210 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2021, Nov 17, 2015 (2 updates tracked since 2015).

About Mr. Tanner James Vick Pa-c NPPES

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

MR. TANNER JAMES VICK PA-C (NPI 1487632667) is an individual surgical provider in Everett, Washington, licensed in Washington (PA10004747) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Providence Regional Medical Center Everett, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1487632667
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. TANNER JAMES VICKCredential: PA-C
Location Address1330 ROCKEFELLER AVE, STE 520Everett, WA 98201-1684
Mailing AddressPo Box 3360, Providence Health & ServicesPortland, OR 97208-3360 · (866) 366-2983
Phone(425) 297-5200
Fax(425) 297-5210
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJanuary 6, 2006
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1487632667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA10004747
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA10004747 (WA)
1330 ROCKEFELLER AVE, Everett, WA 98201
Open in Google Maps ↗

Other Identifiers 2

Other191975WA · L&i Provider Number
Medicaid8412868WA

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

Mr. Tanner James Vick 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 ID7719945096
PECOS Enrollment IDI20050103001012
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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
64 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
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.
14 services13 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Providence Regional Medical Center Everett

Acute Care Hospitals · Everett, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500014
Location1321 Colby AvenueEverett, WA 98201 · Snohomish County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 19

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

JOHN F MATISTA PA-C
Physician Assistant (Medical)
1330 ROCKEFELLER AVE, SUITE 225
EVERETT, WA 98201
Snohomish County (425) 261-4910
JOHN C VANDREE MD
Internal Medicine (Pulmonary Disease)
1330 ROCKEFELLER AVE, SUITE 340
EVERETT, WA 98201
Snohomish County (425) 252-1116
NEALE D SMITH MD
Internal Medicine (Cardiovascular Disease)
1330 ROCKEFELLER AVE, SUITE 540
EVERETT, WA 98201
Snohomish County (425) 261-3430
DAVID LIAO MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1330 ROCKEFELLER AVE, SUITE 330
EVERETT, WA 98201
Snohomish County (425) 259-4413
TRACY SPENCER MD
Hospitalist
1330 ROCKEFELLER AVE
EVERETT, WA 98201
Snohomish County (425) 261-2000
JAMES MICHAEL GEIER MD
Neurological Surgery
1330 ROCKEFELLER AVE, SUITE 220
EVERETT, WA 98201
Snohomish County (425) 261-4920
GEORGE A. DIAZ MD
Internal Medicine (Infectious Disease)
1330 ROCKEFELLER AVE, SUITE 210
EVERETT, WA 98201
Snohomish County (425) 261-4940
EVERETT CARDIOLOGY & ELECTROPHYSIOLOGY, P.S.
Internal Medicine (Cardiovascular Disease)
1330 ROCKEFELLER AVE, 225
EVERETT, WA 98201
Snohomish County (425) 261-4910

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 Tanner Vick's NPI number?

The NPI number for Tanner Vick is 1487632667. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Tanner Vick located?

Tanner Vick practices at 1330 Rockefeller Ave Ste 520, Everett, WA 98201. The listed phone number is (425) 297-5200.

What is Tanner Vick's specialty?

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

Is Tanner Vick enrolled in Medicare?

Yes. Tanner Vick 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 Tanner Vick accept?

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

According to CMS data, Tanner Vick is affiliated with Providence Regional Medical Center Everett.

When was this NPI record last updated?

The NPPES record for Tanner Vick was last updated on April 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.