Aleisha S Allen, PA-C
Physician Assistant, Surgical in Mount Vernon, WA. Individual provider (NPI-1).
NPI number1700520087
StatusActive
Last updated in NPPESAug 18, 2022
Details
- NPI
- 1700520087
- Entity type
- Individual (NPI-1)
- Name
- Aleisha S Allen
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 23, 2022
- Certification date
- Aug 18, 2022
- Last updated
- Aug 18, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA61306426 | WA | Yes |
Other names
- Aleisha Hathaway (Former Name)
Practice location
1400 E Kincaid StMount Vernon, WA 98274-4127
Phone 360-428-2500
Mailing address
1400 E Kincaid StMount Vernon, WA 98274-4127
Phone 360-428-2550
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 35 Surgical Physician Assistant providers in Mount Vernon · All 1,851 providers in Mount Vernon
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