Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326457813 Individual Practitioner Female Practitioner

Tamara Mickelson , PA-C

Physician Assistant • Gig Harbor, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Tamara Mickelson, PA-C is a certified Physician Assistant practicing in Gig Harbor, WA. With approximately 12 years of clinical experience since completing medical education in 2014, Tamara Mickelson delivers high-quality medical care to the local community at 11511 CANTERWOOD BLVD STE 105.

Tamara Mickelson accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least, prolonged inpatient or observation hospital service, first hour. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11511 Canterwood Blvd Ste 105

Gig Harbor, WA 983325813

Telephone 2539852949
Fax 2539852948

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Gig Harbor, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs -2.0 yrs vs City Avg
City Avg: 14.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
25 Specialists

Practicing in Gig Harbor, WA (3774 Statewide)

Telehealth Adoption Rate
32.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
70.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mickelson (12 Years) 12 Yrs
Gig Harbor Specialty Average (14.0 Years) 14.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
238 155 $371.95 $108.59
99213 Established patient office or other outpatient visit, typically 15 minutes
93 81 $264.73 $77.16
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
18 17 $510.89 $152.32

Medical Specialties & State Licenses

CMS Verified: 2020-12-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60490222

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2041829 (WA)

Secondary Practice Locations

2200 Nw Myhre Rd

Silverdale, WA 983837681

Phone: 3608301301

2200 Nw Myhre Rd

Silverdale, WA 983837681

Phone: 3608301301

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
NPI 1003071341

Doctor of Medicine (M.D.)

NPI 1033797865

Doctor of Osteopathic Medicine (D.O.)

NPI 1043296031

Doctor of Osteopathic Medicine (D.O.)

Dr. Todd Donato , MD

Anesthesiology

NPI 1063489573

Doctor of Medicine (M.D.)

Dr. Samuel Holmes , MD

Physical Medicine & Rehabilitation - Pain Medicine

NPI 1073815163

Doctor of Medicine (M.D.)

Amy Kupper , MS

Psychologist - Clinical

NPI 1306288899

Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

17 Historical Events
📍
Updated Practice Location December 18, 2020

Registered at 11511 CANTERWOOD BLVD STE 105, GIG HARBOR, WA 983325813 (Tel: 2539852949)

📍
Updated Business Mailing Address December 18, 2020

Registered at 11511 CANTERWOOD BLVD STE 105, GIG HARBOR, WA 983325813 (Tel: 2539852949)

📍
Updated Practice Location December 07, 2020

Registered at 2200 NW MYHRE RD STE 101, SILVERDALE, WA 983837681 (Tel: 3608301100)

📍
Updated Business Mailing Address December 07, 2020

Registered at 2200 NW MYHRE RD STE 101, SILVERDALE, WA 983837681 (Tel: 3608301100)

📍
Updated Practice Location November 26, 2019

Registered at 707 S GRADY WAY STE 600, RENTON, WA 98057 (Tel: 2068231004)

📍
Updated Business Mailing Address November 26, 2019

Registered at 707 S GRADY WAY STE 600, RENTON, WA 980573227 (Tel: 2068231004)

NPI Profile Active December 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 14, 2017

Registered at 2200 NW MYHRE RD, SILVERDALE, WA 983837681 (Tel: 3608301301)

📍
Updated Business Mailing Address December 14, 2017

Registered at 9621 RIDGETOP BLVD NW, SILVERDALE, WA 983838502 (Tel: 3607823647)

👤
Provider Name / Credentials Updated December 14, 2017

Recorded as TAMARA MICKELSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2017

Physician Assistant (License #PA60490222 in WA)

NPI Profile Active August 08, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2014

Registered at 6981 LITTLEROCK RD SW, TUMWATER, WA 985127226 (Tel: 3609433633)

📍
Updated Business Mailing Address August 08, 2014

Registered at 6981 LITTLEROCK RD SW, TUMWATER, WA 985127226 (Tel: 3609433633)

👤
Provider Name / Credentials Updated August 08, 2014

Recorded as TAMARA MICKELSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2014

Physician Assistant (License #PA60490222 in WA)

🟢
Initial NPI Registration & Enumeration August 08, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1326457813
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2014
Last Update: December 18, 2020
Sole Proprietor: No

Mailing Address

11511 Canterwood Blvd Ste 105

Gig Harbor, WA 983325813

Phone: 2539852949

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.