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SIMON MENDOZA MORENO PA-C
NPI 1902298987
Physician Assistant - Medical in Tacoma, WA

Active since February 27, 2015PECOS Enrolled
6240 TACOMA MALL BLVD STE 101, TACOMA, WA 98409(253) 271-9720(253) 212-3372 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2020, Apr 25, 2019, Sep 15, 2016 (3 updates tracked since 2016).

About Simon Mendoza Moreno Pa-c NPPES

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

SIMON MENDOZA MORENO PA-C (NPI 1902298987) is an individual medical provider in Tacoma, Washington, licensed in Washington (PA60672657) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902298987
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameSIMON MENDOZA MORENOCredential: PA-C
Location Address6240 TACOMA MALL BLVD STE 101Tacoma, WA 98409-6819
Mailing Address600 Orondo Ave, Ste 1Wenatchee, WA 98801-2800 · (509) 662-6000 · Fax (509) 664-4590
Phone(253) 271-9720
Fax(253) 212-3372
Sole ProprietorNo
Enumeration DateFebruary 27, 2015
Last NPPES UpdateAugust 3, 20233 updates tracked since enumeration
NPPES CertifiedAugust 3, 2023
✔ NPI 1902298987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA60672657
6240 TACOMA MALL BLVD STE 101, Tacoma, WA 98409
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon Mendoza Moreno Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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.

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
18 services18 patients

Other Providers at the Same Location NPPES 4

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

MS. MORGAN L PASSERO CRNP
Nurse Practitioner
6240 TACOMA MALL BLVD STE 101
TACOMA, WA 98409
Pierce County (253) 271-9720
EDWIN CUEVAS
Physician Assistant
6240 TACOMA MALL BLVD STE 101
TACOMA, WA 98409
Pierce County (253) 271-9720
JESSY KRALLUM FNP-C
Nurse Practitioner
6240 TACOMA MALL BLVD STE 101
TACOMA, WA 98409
Pierce County (253) 271-9720
AARON WADDELL PA-C
Physician Assistant
6240 TACOMA MALL BLVD STE 101
TACOMA, WA 98409
Pierce County (253) 380-4886

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 Simon Mendoza Moreno's NPI number?

The NPI number for Simon Mendoza Moreno is 1902298987. It was assigned to this individual provider in the NPPES registry on February 27, 2015.

Where is Simon Mendoza Moreno located?

Simon Mendoza Moreno practices at 6240 Tacoma Mall Blvd Ste 101, Tacoma, WA 98409. The listed phone number is (253) 271-9720.

What is Simon Mendoza Moreno's specialty?

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

Is Simon Mendoza Moreno enrolled in Medicare?

Yes. Simon Mendoza Moreno is registered in the Medicare PECOS enrollment system.

What insurance does Simon Mendoza Moreno accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Simon Mendoza Moreno 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.

When was this NPI record last updated?

The NPPES record for Simon Mendoza Moreno was last updated on August 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.