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BELLEVUE MEDICAL CENTER
NPI 1750754883
Physician Assistant in Bellevue, WA

Active since November 11, 2015
10655 NE 4TH ST, STE 101, BELLEVUE, WA 98004(425) 577-1517(425) 454-7767 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bellevue Medical Center NPPES

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

BELLEVUE MEDICAL CENTER (NPI 1750754883) is a healthcare organization registered as a physician assistant in Bellevue, Washington and active in the NPI registry since November 2015. The organization lists Raymon Kooner, President, as its authorized official.

NPPES Registry Identity

NPI1750754883
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameBELLEVUE MEDICAL CENTER
Location Address10655 NE 4TH ST, STE 101Bellevue, WA 98004-5035
Mailing Address10655 Ne 4th St, Ste 101Bellevue, WA 98004-5035 · (425) 577-1517 · Fax (425) 454-7767
Phone(425) 577-1517
Fax(425) 454-7767
Organization SubpartNo
Authorized OfficialRaymon KoonerPresident · (425) 577-1517
Enumeration DateNovember 11, 2015
✔ NPI 1750754883 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 · PA10004437
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.
10655 NE 4TH ST, Bellevue, WA 98004
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bellevue Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Bellevue Medical Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Guan Wang
Chiropractic
NPI 1962353144
10655 NE 4TH ST STE 101
Bellevue, WA 98004
(425) 455-2225
Same address
Raymon Kooner, DC
Chiropractic
NPI 1053404038
10655 NE 4TH ST 101
Bellevue, WA 98004
(503) 860-8859
Same address
Patrick Gorrell, DC
Chiropractic
NPI 1457864969
619 SW 152ND ST
Burien, WA 98166
(206) 242-0998
✔ Accepts Medicare12 mi
Michael Bastron, D.C.
Chiropractic
NPI 1023030962
1010 S 336TH STREET SUITE 120
Federal Way, WA 98003
(253) 838-5385
✔ Accepts Medicare22 mi
Nicholaus Martin, DC
Chiropractic
NPI 1194497685
1800 COOPER POINT RD SW STE 24A
Olympia, WA 98502
(360) 940-7360
✔ Accepts Medicare53 mi
Michael Schultz, DC
Chiropractic
NPI 1285925172
830 NW 30TH AVE
Camas, WA 98607
(509) 939-0911
✔ Accepts Medicare139 mi
Corneliu Volosen, ARNP
Nurse Practitioner
NPI 1033738455
6800 SW 105TH AVE STE 206
Beaverton, OR 97008
(503) 430-1777
✔ PECOS✔ Accepts Medicare151 mi
Bryce Bisching, D.C.
Chiropractic
NPI 1548658974
4049 E WILLIAMS FIELD RD STE 101
Gilbert, AZ 85295
(480) 597-9497
✔ Accepts Medicare1,129 mi
Yoomi Oh, PA
Nurse Practitioner
NPI 1174933808
8930 FOUR WINDS DR SUITE 243
San Antonio, TX 78239
(210) 590-1563
✔ PECOS1,780 mi

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

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 Bellevue Medical Center's NPI number?

The NPI number for Bellevue Medical Center is 1750754883. It was assigned to this organization in the NPPES registry on November 11, 2015.

Where is Bellevue Medical Center located?

Bellevue Medical Center is located at 10655 NE 4th St Ste 101, Bellevue, WA 98004. The listed phone number is (425) 577-1517.

What is Bellevue Medical Center's specialty?

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

Is Bellevue Medical Center enrolled in Medicare?

Yes. Bellevue Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bellevue Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Bellevue Medical Center. A 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 the clinician's services. The largest specialties are Chiropractic (7) and Nurse Practitioner (2). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Bellevue Medical Center accept?

Health plans from Ambetter Health list Bellevue Medical Center 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 Bellevue Medical Center was last updated on November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.