LEANN KU'UNANI IKEDA MARVIL PA-C
NPI 1730782608
Physician Assistant - Surgical in Puyallup, WA

Q: What is Leann Marvil's NPI number?

The NPI number for Leann Marvil is 1730782608. It was assigned to this individual provider in the NPPES registry on November 20, 2020. The provider is also known as Leann Ku'unani Lazaro Ikeda Pa-C.

Q: What is Leann Marvil'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 Leann Marvil was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 November 20, 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: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2025, Nov 1, 2023, Nov 28, 2022 and 3 more (6 updates tracked since 2020).

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About Leann Ku'unani Ikeda Marvil Pa-c NPPES

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

LEANN KU'UNANI IKEDA MARVIL PA-C (NPI 1730782608) is an individual surgical provider in Puyallup, Washington, licensed in Washington (PA61094379) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Multicare Good Samaritan Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730782608

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameLEANN KU'UNANI IKEDA MARVILCredential: 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 2020

Enumeration DateNovember 20, 2020

Last NPPES UpdateMarch 7, 20256 updates tracked since enumeration

NPPES CertifiedMarch 7, 2025

✔ NPI 1730782608 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 · PA61094379

Also ListedPhysician AssistantTaxonomy 363A00000X · License 61094379 (WA)

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

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Other Names 1

Former Name (1)Leann Ku'unani Lazaro Ikeda Pa-c

Other Identifiers 1

Medicaid2175486WA

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

Leann Ku'unani Ikeda Marvil 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 ID345658449

PECOS Enrollment IDI20210505001860

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 6

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.

Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled P9603

This service covers travel costs for healthcare professionals to collect necessary lab specimens from patients who are homebound or in nursing homes. The allowance is calculated based on the actual miles traveled to perform this service.

243 services27 patients

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349

An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.

52 services41 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

40 services27 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

30 services25 patients

Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a G0179

This procedure involves a doctor or approved practitioner reviewing your health status and re-certifying your need for Medicare-covered home health services. It includes communication with the home health agency and assessment of your health reports, even when you're not physically present.

25 services18 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

14 services14 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

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

4 suppliers32 claims32 services$26.05 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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)