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Samuel Dylan Gillespie , PA

Physician Assistant β€’ Kent, WA

Active NPI 1215810064 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

17700 Se 272nd St Ste 105
Kent, WA 980424951

Call 2537926555 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

17700 Se 272nd St Ste 105

Kent, WA 980424951

Telephone 2537926555
Organization at the Same NPPES Address or Phone
Multicare Health System Facility NPI 1134809981

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Multicare Health System. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Samuel Gillespie has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Samuel Gillespie as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Kent and Washington

9 active clinicians are listed under Physician Assistant with a practice address in Kent, WA (3,718 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-01-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES None 1227641

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20260224003827

Enrollment State Jurisdiction

WA

PECOS Control ID

1153802590

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Multicare Health System

222 State Ave N, Kent, WA 980304544

Phone: 2533727788

Multicare Health System

17700 Se 272nd St, Covington, WA 980424951

Phone: 2533727030

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Gerard Benecki , MD

Orthopaedic Surgery - Sports Medicine

NPI 1457542656

Doctor of Medicine (M.D.)

Kevin Kunde , PA-C

Physician Assistant

NPI 1699183293

Physician Assistant (Certified)

Jeannine Mackie , MPT

Physical Therapist

NPI 1619166550

Master of Physical Therapy

Jesse Marcotte , NP-C

Nurse Practitioner - Family

NPI 1780037648

Nurse Practitioner (Certified)

Teresa Schreiber , MHS PA-C

Physician Assistant - Surgical

NPI 1104251792

MHSPAC

Marvin Soriano , PA-C

Physician Assistant

NPI 1982014437

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 30, 2026

Registered at 17700 SE 272ND ST STE 105, KENT, WA 980424951 (Tel: 2537926555)

πŸ“
Updated Business Mailing Address January 30, 2026

Registered at 17700 SE 272ND ST STE 105, COVINGTON, WA 980424951

πŸ‘€
Provider Name / Credentials Updated January 30, 2026

Recorded as SAMUEL GILLESPIE, PA

βœ…
NPI Profile Active July 29, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 29, 2025

Registered at 450 S EASTON RD, GLENSIDE, PA 190383215 (Tel: 8055409223)

πŸ“
Business Mailing Address (Initial Record) July 29, 2025

Registered at 7720B STENTON AVE APT 208, PHILADELPHIA, PA 191183125

πŸ‘€
Provider Name / Credentials (Initial Record) July 29, 2025

Recorded as SAMUEL GILLESPIE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2025

Physician Assistant (license number reported to NPPES: None 1227641)

🟒
Initial NPI Registration & Enumeration July 29, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215810064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2025
Last Update: January 30, 2026
Sole Proprietor: No

Other Physician Assistants in Kent

Healthcare providers in Kent

Mailing Address

17700 Se 272nd St Ste 105

Covington, WA 980424951

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.