Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John Tilley, PA-C

Individual provider Surgical Physician Assistant · NPI 1730444175

John Tilley, PA-C is a Physician Assistant in Everett, Washington. Qualified in 2012, 14 years ago. Practices with Optum Care Washington PLLC, a 685-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Washington.

Years since qualifying
14
Licensed in
MA, WA
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

900 Pacific Ave
Everett, WA 98201-4168
Phone: (425) 339-5430
Fax: (425) 339-5454
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1321 Colby Ave, Everett, WA 98201-1665 — (425) 261-2000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60652694 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA4432 (MA)

Record details

NPI number1730444175
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 11, 2012
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026
Mailing address7600 Evergreen Way, Everett, WA 98203-6421

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Optum Care Washington Pllc — 685 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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