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MR. DAVID LEE DELISLE PA-C
NPI 1558407221
Physician Assistant - Medical in Tacoma, WA

Active since January 30, 2007PECOS Enrolled
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431(253) 968-4587(253) 477-3818 Get Directions Write a Review

NPPES record last updated: August 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David Lee Delisle Pa-c NPPES

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

MR. DAVID LEE DELISLE PA-C (NPI 1558407221) is an individual medical provider in Tacoma, Washington, licensed in Washington (PA10003861) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558407221
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. DAVID LEE DELISLECredential: PA-C
Location AddressMADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVETacoma, WA 98431-0001
Mailing AddressMamc Bldg 9925d, East Johnson Street Old MadiganTacoma, WA 98431-0001 · (253) 968-4587 · Fax (253) 986-1404
Phone(253) 968-4587
Fax(253) 477-3818
Sole ProprietorNo
Enumeration DateJanuary 30, 2007
Last NPPES UpdateAugust 2, 2019
✔ NPI 1558407221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA10003861
Also ListedPhysician AssistantTaxonomy 363A00000X · License 10003861 (WA)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, Tacoma, WA 98431
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David Lee Delisle Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

KENNETH E CLIFTON MS
Social Worker (Clinical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-4631
DR. MICHAEL ANTHONY D'ANGELO JR. PSY.D.
Psychologist (Clinical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-5370
CHLOE WYEN LMHC
Counselor (Mental Health)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-0002
CRYSTAL-ANN SPANN RN
Registered Nurse (Case Management)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 966-3677
DR. JONATHAN LEE CAMERON DNP, CRNA
Military Health Care Provider
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2252
MARGARET MARY FAHY PA
Physician Assistant (Medical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-0432
MICHAEL A. BORK DO
General Practice
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
DR. PETER STULL MD
Emergency Medicine
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1250

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 David Delisle's NPI number?

The NPI number for David Delisle is 1558407221. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Where is David Delisle located?

David Delisle practices at Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-4587.

What is David Delisle's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is David Delisle enrolled in Medicare?

Yes. David Delisle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Delisle was last updated on August 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.