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Deactivated NPI 1346526035 Deactivated / Inactive NPI Male Practitioner

Andrew C Selby , PA-C

Physician Assistant • Seattle, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Andrew Selby has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 26, 2011
NPI Deactivation Date July 10, 2025
Total Practice Duration ~14 Years of Practice (2011 – 2025)

Professional Overview & Biography Verified Profile Summary

Andrew Selby, PA-C was a registered Physician Assistant practicing in Seattle, WA. Throughout an active medical career spanning 14 years, Andrew Selby provided care at the practice location at 1101 MADISON ST until profile deactivation on 2025-07-10.

Historical Medicare Part B clinical services included emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, established patient outpatient office visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1101 Madison St
Suite 200

Seattle, WA 981041306

Telephone 2063863660
Fax 2063863644
Associated Practice Facility / Clinic
🏢 Seattle Obgyn Group Facility NPI 1336112713

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
833 Specialists

Practicing in Seattle, WA (3774 Statewide)

Telehealth Adoption Rate
18.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
85.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

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
99284 Emergency department visit with moderate level of medical decision making
30 28 $650.00 $97.10
99285 Emergency department visit for life threatening or functioning severity
12 12 $955.00 $140.12

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60253482

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.

Practice Associates & Co-Workers

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

20 Associated Practitioners
Patricia Kemerley , ARNP

Nurse Practitioner

NPI 1003912411

Advanced Registered Nurse Practitioner

Margaret Siegfried , ARNP

Nurse Practitioner - Acute Care

NPI 1164752655

Advanced Registered Nurse Practitioner

NPI 1225522626

Advanced Registered Nurse Practitioner

Angela Johnston , ARNP

Nurse Practitioner

NPI 1245582683

Advanced Registered Nurse Practitioner

Dr. Diana Perkinson , MD

Internal Medicine - Nephrology

NPI 1316933450

Doctor of Medicine (M.D.)

Dr. Glen Lutchman , MD, MHSC

Internal Medicine - Transplant Hepatology

NPI 1326208638

Doctor of Medicine (M.D.), MHSC

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated July 10, 2025

Record deactivated on July 10, 2025

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Updated Practice Location November 03, 2023

Registered at 5781 MAIN ST, SPRINGFIELD, OR 974785426 (Tel: 5416540282)

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Updated Business Mailing Address November 03, 2023

Registered at 3470 MARILLA LN, EUGENE, OR 974085982 (Tel: 7089750523)

NPI Profile Active January 10, 2014

NPI status registered as active in NPPES database

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Updated Practice Location January 10, 2014

Registered at 1101 MADISON ST, SUITE 200, SEATTLE, WA 981041306 (Tel: 2063863660)

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Updated Business Mailing Address January 10, 2014

Registered at PO BOX 25608, SALT LAKE CITY, UT 841250608 (Tel: 2063204476)

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Provider Name / Credentials Updated January 10, 2014

Recorded as ANDREW SELBY, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2014

Physician Assistant (License #PA60253482 in WA)

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Initial NPI Registration & Enumeration October 26, 2011

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: 1346526035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2011
Last Update: January 10, 2014
Deactivation Date: July 10, 2025

Mailing Address

Po Box 25608

Salt Lake City, UT 841250608

Phone: 2063204476

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.