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PITCHAYA PATTASEMA
NPI 1740097120
Dietitian, Registered in Grandview, WA

Active since December 18, 2024Accepts Medicare Assignment
1000 WALLACE WAY, GRANDVIEW, WA 98930(509) 882-3444 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2025, Dec 18, 2024 (2 updates tracked since 2024).

About Pitchaya Pattasema NPPES

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

PITCHAYA PATTASEMA (NPI 1740097120) is an individual dietitian, registered in Grandview, Washington, licensed in Washington (DI61620379) and active in the NPI registry since December 2024. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1740097120
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NamePITCHAYA PATTASEMA
Location Address1000 WALLACE WAYGrandview, WA 98930-8805
Mailing AddressPo Box 190Toppenish, WA 98948-0190 · (509) 865-2395
Phone(509) 882-3444
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 18, 2024
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1740097120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in WA · DI61620379
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1000 WALLACE WAY, Grandview, WA 98930
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Pitchaya Pattasema 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 ID2062931793
PECOS Enrollment IDI20250527002270

Medicare Billing Reassignments

2

Medicare enrollment records show Pitchaya Pattasema reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yakima Valley Farm Workers Clinic
Same address
Federally Qualified Health Center (FQHC)
1000 WALLACE WAY
Grandview, WA 98930
  • Reassigned Medicare billing, Washington enrollment
  • 252 clinicians in this Medicare group
NPI 1134255847 (509) 882-4275
International Community Health Services
132 mi
Federally Qualified Health Center (FQHC)
4238 AUBURN WAY N
Auburn, WA 98002
  • Reassigned Medicare billing, Washington enrollment
  • 121 clinicians in this Medicare group
NPI 1831910439 (253) 444-0106

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98930 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $57.27 – $172.80
Typical copayment $0.00 (range $14.31 – $43.20)
Most-billed visit code NA
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

IVAN CRUSE MD
Student in an Organized Health Care Education/Training Program
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
MRS. MARCIA KARIN WAGNER M.S., R.D., C.D.
Dietitian, Registered
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-4707
DR. LISA NGUYEN DO
Student in an Organized Health Care Education/Training Program
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 788-1702
SHEHLA FARHAN HASHMI DENTIST
Dentist
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
BLAKE J BOND M.D.
Family Medicine
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
PAIGE BRIGGS RD
Dietitian, Registered
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444
YAKIMA VALLEY FARM WORKERS CLINIC
Pharmacy (Community/Retail Pharmacy)
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3977
EDITH ISBEL NORIEGA CORNEJO
Social Worker (Clinical)
1000 WALLACE WAY
GRANDVIEW, WA 98930
Yakima County (509) 882-3444

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 Pitchaya Pattasema's NPI number?

The NPI number for Pitchaya Pattasema is 1740097120. It was assigned to this individual provider in the NPPES registry on December 18, 2024.

Where is Pitchaya Pattasema located?

Pitchaya Pattasema practices at 1000 Wallace Way, Grandview, WA 98930. The listed phone number is (509) 882-3444.

What is Pitchaya Pattasema's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Pitchaya Pattasema enrolled in Medicare?

Yes. Pitchaya Pattasema 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.

Which organizations bill Medicare for Pitchaya Pattasema's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pitchaya Pattasema reassigns Medicare benefits to 2 organizations: Yakima Valley Farm Workers Clinic (Grandview, WA) and International Community Health Services (Auburn, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pitchaya Pattasema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pitchaya Pattasema accept?

Health plans from Providence Health Plan list Pitchaya Pattasema 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.

When was this NPI record last updated?

The NPPES record for Pitchaya Pattasema was last updated on May 14, 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.