STEPHANIE A. GRANVALL P.A.-C
NPI 1861477960
Physician Assistant - Surgical in Issaquah, WA

Active since December 12, 2005PECOS EnrolledAccepts Medicare Assignment
82.84/100
CMS Quality Rating
751 NE BLAKELY DR, SUITE 4020, ISSAQUAH, WA 98029(425) 313-7124(425) 313-7057 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie A. Granvall P.a.-c NPPES

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

STEPHANIE A. GRANVALL P.A.-C (NPI 1861477960) is an individual surgical provider in Issaquah, Washington, licensed in Washington (PA60321925) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Swedish Issaquah, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1861477960
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSTEPHANIE A. GRANVALLCredential: P.A.-C
Location Address751 NE BLAKELY DR, SUITE 4020Issaquah, WA 98029-6201
Mailing AddressPo Box 25608Salt Lake City, UT 84125-0608 · (206) 320-4476 · Fax (206) 568-7043
Fax(425) 313-7057
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 12, 2005
Last NPPES UpdateMay 25, 2021
NPPES CertifiedMay 25, 2021
NPI 1861477960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in WA · PA60321925
751 NE BLAKELY DR, Issaquah, WA 98029

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

Stephanie A. Granvall P.a.-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 ID1557333994
PECOS Enrollment IDI20130220000351
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.

Hospital Affiliations CMS Care Compare

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

Swedish Issaquah

Acute Care Hospitals · Issaquah, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500152
Location751 NE Blakely DrIssaquah, WA 98029 · King County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities40
Cost60.65

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.

Emergency Medicine
751 NE BLAKELY DR
ISSAQUAH, WA 98029
Advanced Practice Midwife
751 NE BLAKELY DR, FL 3
ISSAQUAH, WA 98029
Emergency Medicine
751 NE BLAKELY DR
ISSAQUAH, WA 98029
Registered Nurse (Lactation Consultant)
751 NE BLAKELY DR
ISSAQUAH, WA 98029
Pharmacist
751 NE BLAKELY DR
ISSAQUAH, WA 98029
Internal Medicine (Medical Oncology)
751 NE BLAKELY DR, 1090
ISSAQUAH, WA 98029
Massage Therapist
751 NE BLAKELY DR, SUITE 3020
ISSAQUAH, WA 98029
Radiology (Radiation Oncology)
751 NE BLAKELY DR, STE 1090
ISSAQUAH, WA 98029

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 Stephanie Granvall's NPI number?

The NPI number for Stephanie Granvall is 1861477960. It was assigned to this individual provider in the NPPES registry on December 12, 2005.

Where is Stephanie Granvall located?

Stephanie Granvall practices at 751 NE Blakely Dr Suite 4020, Issaquah, WA 98029. The listed phone number is (425) 313-7124.

What is Stephanie Granvall's specialty?

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

Is Stephanie Granvall enrolled in Medicare?

Yes. Stephanie Granvall 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 Stephanie Granvall accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Stephanie Granvall 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 Stephanie Granvall affiliated with any hospitals?

According to CMS data, Stephanie Granvall is affiliated with Swedish Issaquah.

When was this NPI record last updated?

The NPPES record for Stephanie Granvall was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.