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MS. MELODY FAN PA-C
NPI 1548308398
Physician Assistant - Surgical in Bellevue, WA

Active since February 02, 2007PECOS EnrolledAccepts Medicare Assignment
1135 116TH AVE NE, SUITE 620, BELLEVUE, WA 98004(425) 454-8016(425) 453-2827 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Melody Fan Pa-c NPPES

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

MS. MELODY FAN PA-C (NPI 1548308398) is an individual surgical provider in Bellevue, Washington, licensed in Washington (PA10004586) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Virginia Mason Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1548308398
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. MELODY FANCredential: PA-C
Location Address1135 116TH AVE NE, SUITE 620Bellevue, WA 98004
Mailing Address1135 116th Ave Ne, Suite 620Bellevue, WA 98004 · (425) 454-8016 · Fax (425) 453-2827
Phone(425) 454-8016
Fax(425) 453-2827
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateFebruary 2, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1548308398 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 · PA10004586
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA10004586 (WA)
1135 116TH AVE NE, Bellevue, WA 98004
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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

Ms. Melody Fan 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 ID6002807393
PECOS Enrollment IDI20040524001430
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

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

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.

JOSEPH W DOUCETTE M.D.
Internal Medicine (Cardiovascular Disease)
1135 116TH AVE NE, SUITE 600
BELLEVUE, WA 98004
King County (425) 454-2656
WASHINGTON IMAGING SERVICES LLC
Specialist
1135 116TH AVE NE, STE 260
BELLEVUE, WA 98004
King County (425) 688-0100
ROANNE R E SELINGER MD
Internal Medicine (Gastroenterology)
1135 116TH AVE NE, #560
BELLEVUE, WA 98004
King County (425) 454-4768
OVERLAKE BREAST IMAGING LLC
Clinic/Center (Radiology)
1135 116TH AVE NE, SUITE 255
BELLEVUE, WA 98004
King County (425) 467-3754
DAVID C MORTON M.D.
Internal Medicine
1135 116TH AVE NE, SUITE 110A
BELLEVUE, WA 98004
King County (425) 289-3100
SHIE-PON TZUNG MD PHD
Internal Medicine (Gastroenterology)
1135 116TH AVE NE, #560
BELLEVUE, WA 98004
King County (425) 454-4768
PROLIANCE SURGEONS INC., P.S.
Orthopaedic Surgery
1135 116TH AVE NE, SUITE 510
BELLEVUE, WA 98004
King County (425) 455-3600
OVERLAKE MEDICAL TOWER PHARMACY
Pharmacy (Community/Retail Pharmacy)
1135 116TH AVE NE, STE 105
BELLEVUE, WA 98004
King County (425) 688-5958

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 Melody Fan's NPI number?

The NPI number for Melody Fan is 1548308398. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Melody Fan located?

Melody Fan practices at 1135 116th Ave NE Suite 620, Bellevue, WA 98004. The listed phone number is (425) 454-8016.

What is Melody Fan's specialty?

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

Is Melody Fan enrolled in Medicare?

Yes. Melody Fan 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 Melody Fan accept?

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

According to CMS data, Melody Fan is affiliated with Virginia Mason Medical Center.

When was this NPI record last updated?

The NPPES record for Melody Fan was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.