MR. NICHOLAS PORTALSKI PA-C
NPI 1922546027
Physician Assistant in Puyallup, WA

Q: What is Nicholas Portalski's NPI number?

The NPI number for Nicholas Portalski is 1922546027. It was assigned to this individual provider in the NPPES registry on February 8, 2017.

Q: What is Nicholas Portalski's specialty?

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

Active since February 08, 2017PECOS Enrolled

1007 39TH AVE SE, PUYALLUP, WA 98374(534) 457-1002 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2021, Oct 18, 2018, Feb 8, 2017 (3 updates tracked since 2017).

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About Mr. Nicholas Portalski Pa-c NPPES

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

MR. NICHOLAS PORTALSKI PA-C (NPI 1922546027) is an individual physician assistant in Puyallup, Washington, licensed in Washington (PA60892458) and active in the NPI registry since February 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Burley.

NPPES Registry Identity

NPI1922546027

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. NICHOLAS PORTALSKICredential: PA-C

Location Address1007 39TH AVE SEPuyallup, WA 98374-2192

Mailing Address1007 39th Ave SePuyallup, WA 98374-2192 · (208) 878-8783

Phone(534) 457-1002

Sole ProprietorNo

Enumeration DateFebruary 8, 2017

Last NPPES UpdateMay 4, 20213 updates tracked since enumeration

NPPES CertifiedMay 4, 2021

✔ NPI 1922546027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in WA · PA60892458✔ Licensed in ID · PA-1472

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.

1007 39TH AVE SE, Puyallup, WA 98374

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Secondary Practice Location 1

Location 11404 Pomerelle AveBurley, ID 83318-2012 · Phone (208) 878-8783

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Nicholas Portalski 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$71.29 typical visit price

range $18.56 – $141.11

Typical copayment $17.82 (range $4.64 – $35.27)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 B BRUSH M.D.

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