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MARYAN ABDIRAHMAN
NPI 1861254856
Physician Assistant - Medical in Olympia, WA

Active since January 25, 2024PECOS EnrolledAccepts Medicare Assignment
3030 LIMITED LN NW, OLYMPIA, WA 98502(360) 491-1399(360) 704-2914 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maryan Abdirahman NPPES

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

MARYAN ABDIRAHMAN (NPI 1861254856) is an individual medical provider in Olympia, Washington, licensed in Washington (PA70055184) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Kansas City, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861254856
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARYAN ABDIRAHMAN
Location Address3030 LIMITED LN NWOlympia, WA 98502-2704
Mailing AddressPo Box 34703Seattle, WA 98124-1703
Phone(360) 491-1399
Fax(360) 704-2914
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 25, 2024
Last NPPES UpdateDecember 19, 2025
NPPES CertifiedDecember 19, 2025
✔ NPI 1861254856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA70055184
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3030 LIMITED LN NW, Olympia, WA 98502
Open in Google Maps ↗

Secondary Practice Location 1

Location 12411 Holmes StKansas City, MO 64108-2741 · Phone (816) 750-2704

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

Maryan Abdirahman 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 ID5698253805
PECOS Enrollment IDI20260129002642
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 15

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

SEA MAR COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
3030 LIMITED LN NW
OLYMPIA, WA 98502
Thurston County (360) 491-1399
LAUREN BETH JOHNSON RDN
Dietitian, Registered
3030 LIMITED LN NW
OLYMPIA, WA 98502
Thurston County (360) 491-1399
SEA MAR COMMUNITY HEALTH CENTERS
Pharmacy (Community/Retail Pharmacy)
3030 LIMITED LN NW
OLYMPIA, WA 98502
Thurston County (360) 704-7575
SEA-MAR COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
3030 LIMITED LN NW
OLYMPIA, WA 98502
Thurston County (360) 491-1399
HANNAH MONET SQUIRE RDN
Dietitian, Registered
3030 LIMITED LN NW
OLYMPIA, WA 98502
Thurston County (360) 491-1399
SEA-MAR COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
3030 LIMITED LN NW
OLYMPIA, WA 98502
Thurston County (360) 491-1399
SEA-MAR COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
3030 LIMITED LN NW
OLYMPIA, WA 98502
Thurston County (360) 491-1399
LISA MARIE MUKAI-FLEMING ARNP
Nurse Practitioner (Family)
3030 LIMITED LN NW
OLYMPIA, WA 98502
Thurston County (360) 491-1399

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 Maryan Abdirahman's NPI number?

The NPI number for Maryan Abdirahman is 1861254856. It was assigned to this individual provider in the NPPES registry on January 25, 2024.

Where is Maryan Abdirahman located?

Maryan Abdirahman practices at 3030 Limited Ln NW, Olympia, WA 98502. The listed phone number is (360) 491-1399.

What is Maryan Abdirahman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Maryan Abdirahman enrolled in Medicare?

Yes. Maryan Abdirahman 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 Maryan Abdirahman was last updated on December 19, 2025. 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.