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MONIC LISSETTE WILDASIN PA-C
NPI 1912687351
Physician Assistant in Tacoma, WA

Active since July 20, 2023
9040 JACKSON AVE, TACOMA, WA 98431(713) 962-7990 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 23, 2026, Jul 20, 2023 (2 updates tracked since 2023).

About Monic Lissette Wildasin Pa-c NPPES

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

MONIC LISSETTE WILDASIN PA-C (NPI 1912687351) is an individual physician assistant in Tacoma, Washington and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1912687351
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMONIC LISSETTE WILDASINCredential: PA-C
Location Address9040 JACKSON AVETacoma, WA 98431-0001
Mailing Address299 Kingspoint Dr Apt 127El Paso, TX 79912-6511 · (713) 962-7990
Phone(713) 962-7990
Sole ProprietorNo
Enumeration DateJuly 20, 2023
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1912687351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
9040 JACKSON AVE, Tacoma, WA 98431
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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.

MICHAEL JOHN MEANS CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2235
DR. ADAM CLAY PERKINS PH.D.
Psychologist (Clinical)
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-3071
GABRIELLE ABRAHAMSEN DPT
Physical Therapist
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2220
KENNY VAN LE MD
Anesthesiology
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1110
MR. ANDREW J IRIZARRY DNP, CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (330) 509-3934
MATTHEW LIBID CRNA
Nurse Anesthetist, Certified Registered
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (203) 768-5053
DR. SALEEM M CHOUDRY
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
COURTNEY LAVIN
General Practice
9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1790

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 Monic Wildasin's NPI number?

The NPI number for Monic Wildasin is 1912687351. It was assigned to this individual provider in the NPPES registry on July 20, 2023.

Where is Monic Wildasin located?

Monic Wildasin practices at 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (713) 962-7990.

What is Monic Wildasin's specialty?

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

When was this NPI record last updated?

The NPPES record for Monic Wildasin was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.