LEANN KU'UNANI IKEDA MARVIL PA-C
NPI 1730782608
Physician Assistant - Surgical in Puyallup, WA
NPI Status: Active since November 20, 2020
Contact Information
3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374
Phone: (253) 845-9585
Fax: (253) 848-1126
- Individual
- Female
- Years of Experience 6
- Physician Assistant
- Surgical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About LEANN MARVIL
This page provides the complete NPI Profile along with additional information for Leann Marvil, a provider established in Puyallup, Washington with a medical specialization in Physician Assistant, focusing in surgical and more than 6 years of experience. The healthcare provider is registered in the NPI registry with number 1730782608 assigned on November 2020. The practitioner's primary taxonomy code is 363AS0400X with license number PA61094379 (WA). The provider is registered as an individual and her NPI record was last updated March 2025.
- NPI
- 1730782608
- Provider Name
- LEANN KU'UNANI IKEDA MARVIL PA-C
- Other Name
- LEANN KU'UNANI LAZARO IKEDA PA-C
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3801 5TH ST SE STE 110 PUYALLUP, WA 98374
- Location Phone
- (253) 845-9585
- Location Fax
- (253) 848-1126
- Mailing Address
- 3801 5TH ST SE STE 110 PUYALLUP, WA 98374
- Mailing Phone
- (253) 845-9585
- Mailing Fax
- (253) 848-1126
- Medical School Name
- OTHER
- Graduation Year
- 2020
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-20-2020
- Last Update Date
- 03-07-2025
- Code Navigator
Location Map
Secondary Locations
- 20920 SR 410 E
Bonney Lake, WA 98391
(253) 845-9585
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA61094379
- License State
- WA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 61094379 (WA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
2175486 | MEDICAID (05) | WA |
Medicare Participation & PECOS Enrollment Status
Leann Marvil is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Leann Marvil is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 345658449
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20210505001860
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Wheelchairs (DD000N)
Standard wheelchair (HCPCS:K0001)
4 DME suppliers used 32 Medicare Claims 32 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
This service was performed 438 times for 145 patientsReviews for LEANN KU'UNANI IKEDA MARVIL PA-C
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 3 | 0 | 7 | 8 | 2 | 6 | 0 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 6 | 0 | 14 | 8 | 4 | 6 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 6 + 0 + 1 + 4 + 8 + 4 + 6 + 0 + 24 = 62 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 62 = 8 | 8 |
The NPI number 1730782608 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 11 providers are registered at the same or nearby location.
NATHAN LORRIS BOWERS M.D.
Orthopaedic Surgery
3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374
KEVIN DO
Physician Assistant
(Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374
HELENA T SHONNARD PA-C
Physician Assistant
(Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374
JUSTIN DAVID MILLARD MD
Orthopaedic Surgery
3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374
BAILEY N. BOLTZ PA-C
Physician Assistant
(Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374
PROLIANCE SURGEONS, INC., P.S.
Orthopaedic Surgery
3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374
ERIKA A EUKER PA-C
Physician Assistant
(Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374
ANTHONY BEAUMONT VAN BERGEYK MD
Orthopaedic Surgery
(Foot and Ankle Surgery)
3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374
JEAN MICHELE C. BELISTA PA-C
Physician Assistant
(Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374
RACHEL LEANNE WHEELER DO
Orthopaedic Surgery
3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374
MR. LUIS LOZANO PA
Physician Assistant
(Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA
ZIP 98374
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1730782608, enumerated as an "individual" on November 20, 2020.
The provider is located at 3801 5TH ST SE STE 110 PUYALLUP, WA 98374 and the phone number is (253) 845-9585.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to verify.