1. Home
  2. Directory
  3. Washington
  4. Seattle
  5. Physician Assistant
  6. NPI Profile

LILLIAN BALDWIN BOURRET PA-C
NPI 1861987992
Physician Assistant - Surgical in Seattle, WA

Active since July 01, 2018PECOS EnrolledAccepts Medicare Assignment
6317 LINDEN AVE N, SEATTLE, WA 98103(206) 637-1905 Get Directions Write a Review

NPPES record last updated: December 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lillian Baldwin Bourret Pa-c NPPES

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

LILLIAN BALDWIN BOURRET PA-C (NPI 1861987992) is an individual surgical provider in Seattle, Washington, licensed in Washington (PA61001225) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Seattle, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1861987992
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLILLIAN BALDWIN BOURRETCredential: PA-C
Location Address6317 LINDEN AVE NSeattle, WA 98103-5658
Mailing Address6317 Linden Ave NSeattle, WA 98103-5658 · (206) 637-1905
Phone(206) 637-1905
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 1, 2018
Last NPPES UpdateDecember 16, 2019
✔ NPI 1861987992 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 · PA61001225
6317 LINDEN AVE N, Seattle, WA 98103
Open in Google Maps ↗

Secondary Practice Location 1

Location 16317 Linden Ave NSeattle, WA 98103-5658 · Phone (206) 637-1905

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

Lillian Baldwin Bourret 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 ID3870928427
PECOS Enrollment IDI20200109000407
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.

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 Lillian Bourret's NPI number?

The NPI number for Lillian Bourret is 1861987992. It was assigned to this individual provider in the NPPES registry on July 1, 2018.

Where is Lillian Bourret located?

Lillian Bourret practices at 6317 Linden Ave N, Seattle, WA 98103. The listed phone number is (206) 637-1905.

What is Lillian Bourret's specialty?

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

Is Lillian Bourret enrolled in Medicare?

Yes. Lillian Bourret 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 Lillian Bourret was last updated on December 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.