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MICHELE YI MD
NPI 1619169638
Pediatrics in Bonney Lake, WA

Active since August 14, 2007PECOS Enrolled
10004 204TH AVE E, SUITE 1300, BONNEY LAKE, WA 98391(253) 848-8797(253) 845-0100 Get Directions Write a Review

NPPES record last updated: April 10, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michele Yi Md NPPES

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

MICHELE YI MD (NPI 1619169638) is an individual pediatrics provider in Bonney Lake, Washington, licensed in Washington (60078044) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619169638
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMICHELE YICredential: MD
Location Address10004 204TH AVE E, SUITE 1300Bonney Lake, WA 98391
Mailing Address11102 Sunrise Blvd E, Suite 103Puyallup, WA 98374 · (253) 848-8797 · Fax (253) 845-0100
Phone(253) 848-8797
Fax(253) 845-0100
Sole ProprietorNo
Enumeration DateAugust 14, 2007
Last NPPES UpdateApril 10, 2015
✔ NPI 1619169638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WA · 60078044
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
10004 204TH AVE E, Bonney Lake, WA 98391
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michele Yi Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Michele Yi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multicare Health System
6.5 mi
Community/Behavioral Health
325 E. PIONEER
Puyallup, WA 98372
  • Reassigned Medicare billing, Washington enrollment
  • 4,383 clinicians in this Medicare group
NPI 1700925351 (253) 697-8548

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98391 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
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
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 20

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

DON MASSEY PA-C
Physician Assistant
10004 204TH AVE E, #1200
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
MR. BRANDON ALAN SWISHER PA-C
Physician Assistant (Surgical)
10004 204TH AVE E, #1200
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
JENNIE G HENDRIE M.D.
Pediatrics
10004 204TH AVE E, SUITE 1300
BONNEY LAKE, WA 98391
Pierce County (253) 848-8797
ERIN ELIZABETH ROTHENBERG PA-C
Physician Assistant
10004 204TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
JEAN PIERE RIVERA NIEVES PA
Physician Assistant (Medical)
10004 204TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
KIERSTI DEVANEY ARNP
Nurse Practitioner
10004 204TH AVE E
BONNEY LAKE, WA 98391
Pierce County (253) 848-5951
TRAVIS LAIRD PT
Physical Therapist
10004 204TH AVE E, STE 3100
BONNEY LAKE, WA 98391
Pierce County (253) 863-7510
MR. BRYAN JAMES ANTONIUS R.T.
Radiologic Technologist (Radiography)
10004 204TH AVE E, SUITE 2600
BONNEY LAKE, WA 98391
Pierce County (253) 446-3983

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 Michele Yi's NPI number?

The NPI number for Michele Yi is 1619169638. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Michele Yi located?

Michele Yi practices at 10004 204th Ave E Suite 1300, Bonney Lake, WA 98391. The listed phone number is (253) 848-8797.

What is Michele Yi's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Michele Yi enrolled in Medicare?

Yes. Michele Yi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michele Yi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Yi reassigns Medicare benefits to Multicare Health System (Puyallup, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michele Yi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michele Yi accept?

Health plans from Providence Health Plan list Michele Yi 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.

When was this NPI record last updated?

The NPPES record for Michele Yi was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.