Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Nicole Elizabeth Fung, PA-C

Individual provider Physician Assistant · NPI 1033863451

Mrs. Nicole Elizabeth Fung, PA-C is a Physician Assistant in Puyallup, Washington. Qualified in 2021, 5 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2022
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

2913 5th Ave NE Ste 101
Puyallup, WA 98372-6748
Phone: (855) 255-1750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1033863451
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 4, 2022
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Puyallup