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

Individual provider Surgical Physician Assistant · NPI 1013561943

Mandy Warner Matta, PA-C is a Physician Assistant in Seattle, Washington. Qualified in 2019, 7 years ago. Practices with Northwest Radiologists Inc Ps, a 27-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
7
Licensed in
WA
In the registry since
2019
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

904 7th Ave
Seattle, WA 98104-1132
Phone: (206) 329-1760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 751 Ne Blakely Dr Ste 4020, Issaquah, WA 98029-6201 — (206) 386-2600
  • 601 Broadway Fl 6, Seattle, WA 98122-5330 — (206) 386-2600

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60977434 (WA)

Record details

NPI number1013561943
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 29, 2019
Last updated in NPPESJuly 27, 2022
Certification dateJuly 27, 2022
Mailing address904 7th Ave, Seattle, WA 98104-1132

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northwest Radiologists Inc Ps — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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