NATHAN AARON DE WITT PA-C
NPI 1790786705
Physician Assistant in Puyallup, WA

Q: What is Nathan De Witt's NPI number?

The NPI number for Nathan De Witt is 1790786705. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Q: What is Nathan De Witt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nathan De Witt was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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 August 02, 2005PECOS EnrolledAccepts Medicare Assignment

1007 39TH AVE SE, PUYALLUP, WA 98374(253) 435-3100(253) 435-3138 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 19, 2021, Mar 3, 2020 (2 updates tracked since 2020).

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About Nathan Aaron De Witt Pa-c NPPES

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

NATHAN AARON DE WITT PA-C (NPI 1790786705) is an individual physician assistant in Puyallup, Washington, licensed in Washington (PA60455073) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Puyallup, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1790786705

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameNATHAN AARON DE WITTCredential: PA-C

Location Address1007 39TH AVE SEPuyallup, WA 98374-2192

Mailing Address1007 39th Ave SePuyallup, WA 98374-2192 · (253) 435-3100 · Fax (253) 435-3138

Phone(253) 435-3100

Fax(253) 435-3138

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateAugust 2, 2005

Last NPPES UpdateApril 17, 20252 updates tracked since enumeration

NPPES CertifiedApril 17, 2025

✔ NPI 1790786705 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 · PA60455073

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.

1007 39TH AVE SE, Puyallup, WA 98374

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Secondary Practice Location 1

Location 13705 S Meridian Ste BPuyallup, WA 98373-3709 · Phone (253) 765-5050 · Fax (415) 252-7176

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

Nathan Aaron De Witt 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 ID1850348954

PECOS Enrollment IDI20141212002232

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

17 services12 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98374 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier11 claims11 services$21.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

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