ABRAHAM VELASCO BUSTAMANTE PA
NPI 1669293908
Physician Assistant - Medical in Omak, WA

Active since October 21, 2024PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Abraham Velasco Bustamante Pa NPPES

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

ABRAHAM VELASCO BUSTAMANTE PA (NPI 1669293908) is an individual medical provider in Omak, Washington and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS, is affiliated with North Valley Hospital, and is a graduate of University Of Washington School Of Medicine (2024).

NPPES Registry Identity

NPI1669293908
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameABRAHAM VELASCO BUSTAMANTECredential: PA
Location Address1003 KOALA DROmak, WA 98841-9247
Mailing Address90 Golden RdOroville, WA 98844-9766 · (206) 639-5761
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2024
Enumeration DateOctober 21, 2024
Last NPPES UpdateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
NPI 1669293908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1003 KOALA DR, Omak, WA 98841

Accepted 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

Abraham Velasco Bustamante Pa 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 ID8628598646
PECOS Enrollment IDI20250220003484
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 2

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

North Valley Hospital

Critical Access Hospitals · Tonasket, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501321
Location203 South WesternTonasket, WA 98855 · Okanogan County
Emergency services

Mid Valley Hospital

Critical Access Hospitals · Omak, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501328
Location810 Jasmine StreetOmak, WA 98841 · Okanogan County
Emergency services

Other Providers at the Same Location NPPES 18

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

Dentist (General Practice)
1003 KOALA DR
OMAK, WA 98841
Pharmacist
1003 KOALA DR
OMAK, WA 98841
Nurse Practitioner
1003 KOALA DR
OMAK, WA 98841
Pharmacist
1003 KOALA DR
OMAK, WA 98841
Family Medicine
1003 KOALA DR
OMAK, WA 98841
Clinic/Center (Dental)
1003 KOALA DR
OMAK, WA 98841
Naturopath
1003 KOALA DR
OMAK, WA 98841
Pharmacist
1003 KOALA DR
OMAK, WA 98841

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 Abraham Velasco Bustamante's NPI number?

The NPI number for Abraham Velasco Bustamante is 1669293908. It was assigned to this individual provider in the NPPES registry on October 21, 2024.

Where is Abraham Velasco Bustamante located?

Abraham Velasco Bustamante practices at 1003 Koala Dr, Omak, WA 98841. The listed phone number is (800) 660-2129.

What is Abraham Velasco Bustamante's specialty?

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

Is Abraham Velasco Bustamante enrolled in Medicare?

Yes. Abraham Velasco Bustamante 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 Abraham Velasco Bustamante accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Abraham Velasco Bustamante 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 Abraham Velasco Bustamante affiliated with any hospitals?

According to CMS data, Abraham Velasco Bustamante is affiliated with North Valley Hospital and Mid Valley Hospital.

When was this NPI record last updated?

The NPPES record for Abraham Velasco Bustamante was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.