Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Bailey N. Boltz, PA-C

Individual provider Physician Assistant · NPI 1831790591

Bailey N. Boltz, PA-C is a Physician Assistant in Puyallup, Washington. Qualified in 2020, 6 years ago. Practices with Proliance Surgeons Inc P S, a 394-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
6
Licensed in
WA
In the registry since
2020
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3801 5th St SE Ste 110
Puyallup, WA 98374-2106
Phone: (253) 845-9585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20920 Sr 410 E, Bonney Lake, WA 98391-6302 — (253) 845-9585

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA61101539 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA61101539 (WA)

Record details

NPI number1831790591
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 7, 2020
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Proliance Surgeons Inc P S — 394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Puyallup