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MS. COURTNEY LEAH KASSOW PA-C
NPI 1669515623
Physician Assistant - Surgical in Tacoma, WA

Active since February 15, 2007PECOS EnrolledAccepts Medicare Assignment
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405(253) 596-3300(253) 596-3301 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2021, Jun 16, 2020, Oct 10, 2018 (3 updates tracked since 2018).

About Ms. Courtney Leah Kassow Pa-c NPPES

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

MS. COURTNEY LEAH KASSOW PA-C (NPI 1669515623) is an individual surgical provider in Tacoma, Washington, licensed in Washington (PA60874684) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1669515623
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. COURTNEY LEAH KASSOWCredential: PA-C
Location Address209 MARTIN LUTHER KING JR WAYTacoma, WA 98405-4265
Mailing Address209 Martin Luther King Jr WayTacoma, WA 98405-4265 · (253) 596-3300 · Fax (253) 596-3301
Phone(253) 596-3300
Fax(253) 596-3301
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 15, 2007
Last NPPES UpdateApril 22, 20213 updates tracked since enumeration
NPPES CertifiedApril 22, 2021
✔ NPI 1669515623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses✔ Licensed in WA · PA60874684✔ Licensed in MA · 2053✔ Licensed in TX · PA06311
209 MARTIN LUTHER KING JR WAY, Tacoma, WA 98405
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1901 W 38th St, Suite 301Austin, TX 78705-1163 · Phone (512) 225-6335 · Fax (512) 225-6336
Location 26550 Fannin St Ste 2435Houston, TX 77030 · Phone (713) 790-3140

Other Identifiers 1

Medicaid305018906TX

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

Ms. Courtney Leah Kassow 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 ID2668558750
PECOS Enrollment IDI20200701001425
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.

DR. KRISTINA SIU PETSAS M.D.
Family Medicine
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
ALEXANDRA CORNWALL PA-C
Physician Assistant
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
MRS. ANNE GARCES LAPORTE D.O.
Family Medicine
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
MR. CHRISTOPHER R WALSH PA-C
Physician Assistant
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
DR. JOEL THOMAS MCFARLAND MD
Radiology (Diagnostic Radiology)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
JONATHAN P KRYMAN MD
Pain Medicine (Pain Medicine)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
JOHN C. OSGOOD M.D.
Orthopaedic Surgery
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 596-3300
DR. ANDREW KENNETH YU PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
209 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405
Pierce County (253) 383-7870

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 Courtney Kassow's NPI number?

The NPI number for Courtney Kassow is 1669515623. It was assigned to this individual provider in the NPPES registry on February 15, 2007.

Where is Courtney Kassow located?

Courtney Kassow practices at 209 Martin Luther King Jr Way, Tacoma, WA 98405. The listed phone number is (253) 596-3300.

What is Courtney Kassow's specialty?

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

Is Courtney Kassow enrolled in Medicare?

Yes. Courtney Kassow 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.

When was this NPI record last updated?

The NPPES record for Courtney Kassow was last updated on April 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.