JEAN MICHELE C. BELISTA PA-C
NPI 1669085726
Physician Assistant - Surgical in Puyallup, WA

Q: What is Jean Michele Belista's NPI number?

The NPI number for Jean Michele Belista is 1669085726. It was assigned to this individual provider in the NPPES registry on August 28, 2020.

Q: What is Jean Michele Belista's specialty?

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

Active since August 28, 2020PECOS EnrolledAccepts Medicare Assignment

3801 5TH ST SE STE 110, PUYALLUP, WA 98374(253) 845-9585(253) 848-1126 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 15, 2024, Aug 28, 2020 (2 updates tracked since 2020).

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About Jean Michele C. Belista Pa-c NPPES

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

JEAN MICHELE C. BELISTA PA-C (NPI 1669085726) is an individual surgical provider in Puyallup, Washington, licensed in Washington (PA61470001) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Multicare Good Samaritan Hospital, and maintains a secondary practice location in Bonney Lake.

NPPES Registry Identity

NPI1669085726

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameJEAN MICHELE C. BELISTACredential: PA-C

Location Address3801 5TH ST SE STE 110Puyallup, WA 98374-2106

Mailing Address3801 5th St Se Ste 110Puyallup, WA 98374-2106 · (253) 845-9585 · Fax (253) 848-1126

Phone(253) 845-9585

Fax(253) 848-1126

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 28, 2020

Last NPPES UpdateApril 15, 20242 updates tracked since enumeration

NPPES CertifiedAugust 26, 2023

✔ NPI 1669085726 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 · PA61470001

Also ListedPhysician AssistantTaxonomy 363A00000X

3801 5TH ST SE STE 110, Puyallup, WA 98374

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Secondary Practice Location 1

Location 120920 SR 410 EBonney Lake, WA 98391-6302 · Phone (253) 845-9585 · Fax (253) 848-1126

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Jean Michele C. Belista 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 ID5294175824

PECOS Enrollment IDI20240430003316

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.

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.

52 services37 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

15 services13 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.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Multicare Good Samaritan Hospital

Acute Care Hospitals · Puyallup, WA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500079

Location401 15th Avenue SEPuyallup, WA 98372 · Pierce County

Emergency services Birthing friendly

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Other Providers at the Same Location NPPES 14

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

KATELYN RAE GENOVA PA-C

Physician Assistant (Surgical)