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NICOLE FANG PO PA
NPI 1750101358
Physician Assistant in Bellevue, WA

Active since October 16, 2024PECOS EnrolledAccepts Medicare Assignment
1600 116TH AVE NE STE 204, BELLEVUE, WA 98004(206) 395-4422(888) 688-4167 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Fang Po Pa NPPES

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

NICOLE FANG PO PA (NPI 1750101358) is an individual physician assistant in Bellevue, Washington, licensed in Washington (PA61592676) and active in the NPI registry since October 2024. She is enrolled in Medicare PECOS and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2024).

NPPES Registry Identity

NPI1750101358
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNICOLE FANG POCredential: PA
Location Address1600 116TH AVE NE STE 204Bellevue, WA 98004-3056
Mailing Address1600 116th Ave Ne Ste 204Bellevue, WA 98004-3056 · (206) 395-4422 · Fax (888) 688-4167
Phone(206) 395-4422
Fax(888) 688-4167
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2024
Enumeration DateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1750101358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA61592676
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1600 116TH AVE NE STE 204, Bellevue, WA 98004
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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

Nicole Fang Po Pa 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 ID1052838349
PECOS Enrollment IDI20250509001415
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98004 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
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 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALMA GARCIA D.O.
Physical Medicine & Rehabilitation
1600 116TH AVE NE STE 204
BELLEVUE, WA 98004
King County (425) 247-3359
NICHOLAS A. FLUGSTAD, MD, PS
Plastic Surgery
1600 116TH AVE NE STE 204
BELLEVUE, WA 98004
King County (425) 454-5133
JASON GENE ATTAMAN DO
Pain Medicine (Interventional Pain Medicine)
1600 116TH AVE NE STE 204
BELLEVUE, WA 98004
King County (206) 395-4422

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 Nicole Po's NPI number?

The NPI number for Nicole Po is 1750101358. It was assigned to this individual provider in the NPPES registry on October 16, 2024.

Where is Nicole Po located?

Nicole Po practices at 1600 116th Ave NE Ste 204, Bellevue, WA 98004. The listed phone number is (206) 395-4422.

What is Nicole Po's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nicole Po enrolled in Medicare?

Yes. Nicole Po 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.

What insurance does Nicole Po accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nicole Po 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 Nicole Po was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.