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

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  • Individual
  • Female
  • Years of Experience 7
  • 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 7 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 one year ago.

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
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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)
1363A00000XPhysician 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
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

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
2175486MEDICAID (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 patients

Reviews for LEANN KU'UNANI IKEDA MARVIL PA-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730782608, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
6
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 1 + 4 + 8 + 4 + 6 + 0 + 24 = 62

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1730782608.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

Orthopaedic Surgery
3801 5TH ST SE STE 110
PUYALLUP, WA 98374
Physician Assistant (Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA 98374
Physician Assistant (Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA 98374
Orthopaedic Surgery
3801 5TH ST SE STE 110
PUYALLUP, WA 98374
Physician Assistant (Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA 98374
Orthopaedic Surgery
3801 5TH ST SE STE 110
PUYALLUP, WA 98374
Physician Assistant (Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA 98374
Orthopaedic Surgery (Foot and Ankle Surgery)
3801 5TH ST SE STE 110
PUYALLUP, WA 98374
Physician Assistant (Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA 98374
Orthopaedic Surgery
3801 5TH ST SE STE 110
PUYALLUP, WA 98374
Physician Assistant (Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA 98374
Physician Assistant (Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA 98374
Physician Assistant (Surgical)
3801 5TH ST SE STE 110
PUYALLUP, WA 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,. Please consult your insurance carrier or call the provider to verify.