MOISES CORDOVA PA-C
NPI 1992681043
Physician Assistant in Walla Walla, WA

Active since August 13, 2025PECOS EnrolledAccepts Medicare Assignment
380 CHASE AVE, WALLA WALLA, WA 99362(509) 897-3790(509) 897-5558 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 7, 2026, Aug 13, 2025 (2 updates tracked since 2025).

About Moises Cordova Pa-c NPPES

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

MOISES CORDOVA PA-C (NPI 1992681043) is an individual physician assistant in Walla Walla, Washington, licensed in Washington (PA70039676) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, is affiliated with Providence St Mary Medical Center, and is a graduate of San Juan Bautista School Of Medicine (2025).

NPPES Registry Identity

NPI1992681043
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMOISES CORDOVACredential: PA-C
Location Address380 CHASE AVEWalla Walla, WA 99362-2924
Mailing Address380 Chase AveWalla Walla, WA 99362-2924 · (509) 897-3790 · Fax (509) 897-5558
Fax(509) 897-5558
Sole ProprietorYes
Medical School CMSSan Juan Bautista School Of MedicineGraduated 2025
Enumeration DateAugust 13, 2025
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1992681043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · PA70039676
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.

380 CHASE AVE, Walla Walla, WA 99362

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

Moises Cordova 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 ID2961993308
PECOS Enrollment IDI20251113003839
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.

Providence St Mary Medical Center

Acute Care Hospitals · Walla Walla, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500002
Location401 W Poplar StWalla Walla, WA 99362 · Walla Walla County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99362 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.

Physician Assistant
380 CHASE AVE
WALLA WALLA, WA 99362
Durable Medical Equipment & Medical Supplies
380 CHASE AVE
WALLA WALLA, WA 99362
Nurse Practitioner (Family)
380 CHASE AVE
WALLA WALLA, WA 99362
Pharmacist
380 CHASE AVE
WALLA WALLA, WA 99362
Physician Assistant (Surgical)
380 CHASE AVE
WALLA WALLA, WA 99362
Surgery
380 CHASE AVE
WALLA WALLA, WA 99362
Physical Therapist (Geriatrics)
380 CHASE AVE
WALLA WALLA, WA 99362
Surgery
380 CHASE AVE
WALLA WALLA, WA 99362

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 Moises Cordova's NPI number?

The NPI number for Moises Cordova is 1992681043. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Moises Cordova located?

Moises Cordova practices at 380 Chase Ave, Walla Walla, WA 99362. The listed phone number is (509) 897-3790.

What is Moises Cordova's specialty?

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

Is Moises Cordova enrolled in Medicare?

Yes. Moises Cordova 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.

Is Moises Cordova affiliated with any hospitals?

According to CMS data, Moises Cordova is affiliated with Providence St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Moises Cordova was last updated on January 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.