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FORTUNATO PLACENCIA JR.
NPI 1790664068
Physician Assistant in Mountlake Terrace, WA

Active since August 29, 2025PECOS EnrolledAccepts Medicare Assignment
6808 220TH ST SW STE 201, MOUNTLAKE TERRACE, WA 98043(425) 640-6976 Get Directions Write a Review

NPPES record last updated: August 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fortunato Placencia Jr. NPPES

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

FORTUNATO PLACENCIA JR. (NPI 1790664068) is an individual physician assistant in Mountlake Terrace, Washington and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2024).

NPPES Registry Identity

NPI1790664068
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameFORTUNATO PLACENCIA JR.
Location Address6808 220TH ST SW STE 201Mountlake Terrace, WA 98043-2187
Mailing Address427 Mission AveCashmere, WA 98815-1052 · (509) 881-4395
Phone(425) 640-6976
Sole ProprietorYes
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2024
Enumeration DateAugust 29, 2025
NPPES CertifiedAugust 29, 2025
✔ NPI 1790664068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
6808 220TH ST SW STE 201, Mountlake Terrace, WA 98043
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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

Fortunato Placencia Jr. 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 ID5395237028
PECOS Enrollment IDI20251120002888
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 98043 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 2

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

GEOFFREY LOUIS TYSON M.D.
Anesthesiology (Pain Medicine)
6808 220TH ST SW STE 201
MOUNTLAKE TERRACE, WA 98043
Snohomish County (360) 839-6778
SOUND PAIN ALLIANCE
Anesthesiology (Pain Medicine)
6808 220TH ST SW STE 201
MOUNTLAKE TERRACE, WA 98043
Snohomish County (360) 839-6778

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 Fortunato Placencia's NPI number?

The NPI number for Fortunato Placencia is 1790664068. It was assigned to this individual provider in the NPPES registry on August 29, 2025.

Where is Fortunato Placencia located?

Fortunato Placencia practices at 6808 220th St SW Ste 201, Mountlake Terrace, WA 98043. The listed phone number is (425) 640-6976.

What is Fortunato Placencia's specialty?

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

Is Fortunato Placencia enrolled in Medicare?

Yes. Fortunato Placencia 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.

When was this NPI record last updated?

The NPPES record for Fortunato Placencia was last updated on August 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.