AMANDA L. LUGO PAC
NPI 1780062034
Physician Assistant - Surgical in Enumclaw, WA

Q: What is Amanda Lugo's NPI number?

The NPI number for Amanda Lugo is 1780062034. It was assigned to this individual provider in the NPPES registry on May 7, 2015.

Q: What is Amanda Lugo's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Lugo was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 07, 2015PECOS EnrolledAccepts Medicare Assignment

2820 GRIFFIN AVE STE 210, ENUMCLAW, WA 98022(360) 825-7500(360) 825-3370 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Amanda L. Lugo Pac NPPES

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

AMANDA L. LUGO PAC (NPI 1780062034) is an individual surgical provider in Enumclaw, Washington, licensed in Washington (PA70012203) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1780062034

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameAMANDA L. LUGOCredential: PAC

Location Address2820 GRIFFIN AVE STE 210Enumclaw, WA 98022-2373

Mailing Address2820 Griffin Ave Ste 210Enumclaw, WA 98022-2373 · (360) 825-7500 · Fax (360) 825-3370

Phone(360) 825-7500

Fax(360) 825-3370

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateMay 7, 2015

Last NPPES UpdateJanuary 5, 2026

NPPES CertifiedJanuary 5, 2026

✔ NPI 1780062034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WA · PA70012203

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X

2820 GRIFFIN AVE STE 210, Enumclaw, WA 98022

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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

Amanda L. Lugo Pac 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 ID2264928597

PECOS Enrollment IDI20260106003750

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.

Other Providers at the Same Location NPPES 5

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

DR. DAVID H BISHOP M.D.

Orthopaedic Surgery