MICHAELA ETHERTON PA-S
NPI 1619586153
Physician Assistant - Surgical in Vancouver, WA

Q: What is Michaela Etherton's NPI number?

The NPI number for Michaela Etherton is 1619586153. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Q: What is Michaela Etherton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michaela Etherton was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.

Active since July 30, 2020PECOS EnrolledAccepts Medicare Assignment

200 NE MOTHER JOSEPH PL STE 300, VANCOUVER, WA 98664(360) 254-6161(360) 803-0847 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2026, Jul 3, 2025, Mar 6, 2023 and 1 more (4 updates tracked since 2020).

On this page

About Michaela Etherton Pa-s NPPES

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

MICHAELA ETHERTON PA-S (NPI 1619586153) is an individual surgical provider in Vancouver, Washington, licensed in Washington (PA61229907) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Peacehealth Southwest Medical Center, and maintains a secondary practice location in Vancouver.

NPPES Registry Identity

NPI1619586153

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMICHAELA ETHERTONCredential: PA-S

Location Address200 NE MOTHER JOSEPH PL STE 300Vancouver, WA 98664-3296

Mailing Address200 Ne Mother Joseph Pl Ste 210Vancouver, WA 98664-3295 · (360) 254-6161 · Fax (360) 803-0847

Phone(360) 254-6161

Fax(360) 803-0847

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 30, 2020

Last NPPES UpdateJanuary 16, 20264 updates tracked since enumeration

NPPES CertifiedJanuary 16, 2026

✔ NPI 1619586153 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 · PA61229907

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA61229907 (WA)

200 NE MOTHER JOSEPH PL STE 300, Vancouver, WA 98664

Open in Google Maps ↗

Secondary Practice Location 1

Location 12121 NE 139th St Ste 300Vancouver, WA 98686-2316 · Phone (360) 254-6161 · Fax (360) 803-0847

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., 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

Michaela Etherton Pa-s 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 ID8729479449

PECOS Enrollment IDI20220106000879, I20240815003808

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 3

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.

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

47 services45 patients

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

40 services39 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

30 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500050

Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County

Emergency services Birthing friendly

Legacy Salmon Creek Medical Center

Acute Care Hospitals · Vancouver, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500150

Location2211 NE 139th StreetVancouver, WA 98686 · Clark County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 8

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

BREANNE CANNON PA-C

Physician Assistant