DEJIE LU PA-C
NPI 1790492403
Physician Assistant in Port Angeles, WA

Active since November 02, 2022PECOS EnrolledAccepts Medicare Assignment
240 W FRONT ST, PORT ANGELES, WA 98362(360) 452-7891 Get Directions Write a Review

NPPES record last updated: February 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2023, Nov 2, 2022 (2 updates tracked since 2022).

About Dejie Lu Pa-c NPPES

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

DEJIE LU PA-C (NPI 1790492403) is an individual physician assistant in Port Angeles, Washington, licensed in Washington (PA61350431) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Olympic Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790492403
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEJIE LUCredential: PA-C
Location Address240 W FRONT STPort Angeles, WA 98362-2609
Mailing Address240 W Front St Ste APort Angeles, WA 98362-2609 · (360) 452-7891 · Fax (360) 452-8087
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 2, 2022
Last NPPES UpdateFebruary 16, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 16, 2023
NPI 1790492403 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 · PA61350431
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.
240 W FRONT ST, Port Angeles, WA 98362

Accepted 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

Dejie Lu Pa-c 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 ID8628448628
PECOS Enrollment IDI20230109002743
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
28 services14 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
27 services27 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
20 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Tacoma General Allenmore Hospital

Acute Care Hospitals · Tacoma, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500129
Location315 S Mlk Jr WayTacoma, WA 98405 · Pierce County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98362 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 9

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

Clinic/Center (Federally Qualified Health Center (FQHC))
240 W FRONT ST, SUITE A
PORT ANGELES, WA 98362
Nurse Practitioner (Family)
240 W FRONT ST
PORT ANGELES, WA 98362
Physical Therapist
240 W FRONT ST
PORT ANGELES, WA 98362
Family Medicine
240 W FRONT ST
PORT ANGELES, WA 98362
Family Medicine
240 W FRONT ST
PORT ANGELES, WA 98362
Psychiatry & Neurology (Psychiatry)
240 W FRONT ST
PORT ANGELES, WA 98362
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
240 W FRONT ST
PORT ANGELES, WA 98362
Physician Assistant
240 W FRONT ST
PORT ANGELES, WA 98362

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 Dejie Lu's NPI number?

The NPI number for Dejie Lu is 1790492403. It was assigned to this individual provider in the NPPES registry on November 2, 2022.

Where is Dejie Lu located?

Dejie Lu practices at 240 W Front St, Port Angeles, WA 98362. The listed phone number is (360) 452-7891.

What is Dejie Lu's specialty?

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

Is Dejie Lu enrolled in Medicare?

Yes. Dejie Lu 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 Dejie Lu accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Dejie Lu 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.

Is Dejie Lu affiliated with any hospitals?

According to CMS data, Dejie Lu is affiliated with Olympic Medical Center and Tacoma General Allenmore Hospital.

When was this NPI record last updated?

The NPPES record for Dejie Lu was last updated on February 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.