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

Mikel McMakin, PA-C

Individual provider Physician Assistant · NPI 1851154256

Mikel McMakin, PA-C is a Physician Assistant in Bonney Lake, Washington. Qualified in 2023, 3 years ago. Practices with Lark Dermatology, a 5-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
3
Licensed in
OR, WA
In the registry since
2024
Specialties on file
4
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

21137 Sr 410 E Ste I
Bonney Lake, WA 98391-8775
Phone: (253) 862-5275
Fax: (855) 673-1403
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5200 Meadows Rd Ste 200, Lake Oswego, OR 97035-0086 — (855) 255-1750
  • 413 29th St Ne Ste I, Puyallup, WA 98372-7154 — (855) 255-1750

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61523671 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA219565 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 1218544 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA219565 (OR)

Record details

NPI number1851154256
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedJanuary 30, 2024
Last updated in NPPESJanuary 28, 2025
Certification dateJanuary 28, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Lark Dermatology — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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