Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1619353968 Deactivated / Inactive NPI Female Practitioner

Heather Dimock , PA-C

Physician Assistant • Walla Walla, WA

⚠️

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, Heather Dimock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 09, 2015
NPI Deactivation Date July 31, 2025
Total Practice Duration ~10 Years of Practice (2015 – 2025)

Professional Overview & Biography Verified Profile Summary

Heather Dimock, PA-C was a registered Physician Assistant practicing in Walla Walla, WA. Throughout an active medical career spanning 10 years, Heather Dimock provided care at the practice location at 1120 W ROSE ST until profile deactivation on 2025-07-31.

Historical Medicare Part B clinical services included established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1120 W Rose St

Walla Walla, WA 993621662

Telephone 5095256650
Fax 5095222349
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Walla Walla, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
29 Specialists

Practicing in Walla Walla, WA (3774 Statewide)

Telehealth Adoption Rate
3.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
69.1% 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
135 87 $260.00 $81.71
99213 Established patient office or other outpatient visit, typically 15 minutes
134 120 $170.00 $67.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
30 30 $327.00 $74.33
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
24 24 $160.00 $68.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
21 17 $350.00 $102.88
99442 Telephone medical discussion with physician, 11-20 minutes
13 13 $260.00 $75.82
93000 Routine ekg using at least 12 leads including interpretation and report
11 11 $42.00 $12.27
81002 Urinalysis, manual test
11 11 $7.00 $3.41

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA BG60610533

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

32 Associated Practitioners
Susan Laabs , RN

Registered Nurse - Community Health

NPI 1023474624

Registered Nurse

Sherry Goff

Registered Nurse - Community Health

NPI 1073926200
Fnu Nisina

Dentist

NPI 1083391684
Erin Fletcher , PA STUDENT

Physician Assistant

NPI 1164195038

PASTUDENT

Dr. Barry Kellogg , MD

Family Medicine

NPI 1164511606

Doctor of Medicine (M.D.)

Bob Daniel

Pharmacist

NPI 1205136579

Career & Practice History Timeline

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

14 Historical Events
⚠️
NPI Profile Deactivated July 31, 2025

Record deactivated on July 31, 2025

📍
Updated Practice Location September 14, 2021

Registered at 360 KINGSTOWN RD UNIT 200, NARRAGANSETT, RI 028823258 (Tel: 4017836940)

📍
Updated Business Mailing Address September 14, 2021

Registered at 10 DAVOL SQ STE 400, PROVIDENCE, RI 029034760 (Tel: 4014214000)

👤
Provider Name / Credentials Updated September 14, 2021

Recorded as HEATHER GRAU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2021

Physician Assistant (License #PA01360 in RI)

📍
Updated Business Mailing Address March 17, 2021

Registered at 1120 W ROSE ST, WALLA WALLA, WA 993621662 (Tel: 5095256650)

👤
Provider Name / Credentials Updated March 17, 2021

Recorded as HEATHER DIMOCK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2021

Physician Assistant (License #PA60598795 in WA)

NPI Profile Active October 30, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 30, 2015

Registered at 1120 W ROSE ST, WALLA WALLA, WA 993621662 (Tel: 5095256650)

📍
Updated Business Mailing Address October 30, 2015

Registered at 601 N KEYS RD, YAKIMA, WA 989011172 (Tel: 5098652395)

👤
Provider Name / Credentials Updated October 30, 2015

Recorded as HEATHER DIMOCK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2015

Physician Assistant (License #BG60610533 in WA)

🟢
Initial NPI Registration & Enumeration August 09, 2015

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 Heather Dimock. Be the first to share your experience!

Sign in to leave a review for Heather Dimock

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

NPI Administrative Meta

NPI Number: 1619353968
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2015
Last Update: October 30, 2015
Deactivation Date: July 31, 2025

Mailing Address

601 N Keys Rd

Yakima, WA 989011172

Phone: 5098652395

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.