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

Mary-Colleen D. Zucconi, PA

Individual provider Surgical Physician Assistant · NPI 1194969717

Mary-Colleen D. Zucconi, PA is a Physician Assistant in Vancouver, Washington. Qualified in 2010, 16 years ago. Practices with Northwest Surgical Specialists PC, a 117-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
16
Licensed in
OR, WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

200 NE Mother Joseph Pl Ste 110
Vancouver, WA 98664
Phone: (360) 254-6161
Fax: (360) 449-1146
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60404649 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA152984 (OR)

Record details

NPI number1194969717
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 27, 2009
Last updated in NPPESAugust 7, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Northwest Surgical Specialists Pc — 117 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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