Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891780524 Individual Practitioner Male Practitioner

Alan K Mirly , PA

Physician Assistant • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Alan Mirly, PA is a registered healthcare professional specializing in Physician Assistant in Vancouver, WA. Practice services are available at 2525 NE 139TH ST STE 220 under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2525 Ne 139th St Ste 220

Vancouver, WA 986862719

Telephone 3608822778
Fax 3606041616
Associated Practice Facility / Clinic
🏢 The Vancouver Clinic Inc Ps Facility NPI 1992759427

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
208 Specialists

Practicing in Vancouver, WA (3774 Statewide)

Telehealth Adoption Rate
21.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
64.0% 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
13 13 $350.00 $129.97
99213 Established patient office or other outpatient visit, typically 15 minutes
12 11 $200.00 $71.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $250.00 $87.05

Medical Specialties & State Licenses

CMS Verified: 2019-12-09
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA60997082

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License ID PA-558

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
2143194 (WA)
Medicaid State Provider ID
807225300 (ID)
Commercial Insurance / Payer ID Blue Cross
PAWV4 (ID)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jonathan Riggs , PA

Physician Assistant

NPI 1003149147

Physician Assistant

Dr. Jose Rivera , MD

Internal Medicine - Infectious Disease

NPI 1003349176

Doctor of Medicine (M.D.)

Kanuboddu Reddy

Internal Medicine

NPI 1003349820
Dr. Aaron Kaplan , MD

Radiology - Diagnostic Radiology

NPI 1003853755

Doctor of Medicine (M.D.)

Dr. Jeff Brent , MD

Emergency Medicine - Sports Medicine

NPI 1013124734

Doctor of Medicine (M.D.)

NPI 1013237379

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location December 09, 2019

Registered at 2525 NE 139TH ST STE 220, VANCOUVER, WA 986862719 (Tel: 3608822778)

📍
Updated Business Mailing Address December 09, 2019

Registered at PO BOX 4825, PORTLAND, OR 972084825 (Tel: 3608822778)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2019

Physician Assistant (License #PA60997082 in WA)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 755 HOSPITAL WAY, SUITE B-3, POCATELLO, ID 832012717 (Tel: 2082322146)

📍
Updated Business Mailing Address July 08, 2007

Registered at 333 N 18TH AVE, SUITE B-3, POCATELLO, ID 832013358 (Tel: 2082322146)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ALAN MIRLY, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA-558 in ID)

🟢
Initial NPI Registration & Enumeration September 19, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Alan Mirly. Be the first to share your experience!

Sign in to leave a review for Alan Mirly

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1891780524
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2005
Last Update: December 09, 2019
Sole Proprietor: No

Mailing Address

Po Box 4825

Portland, OR 972084825

Phone: 3608822778

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.