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

Samuel Dylan Gillespie, PA

Individual provider Physician Assistant · NPI 1215810064

Samuel Dylan Gillespie, PA is a Physician Assistant in Kent, Washington. Qualified in 2025, 1 year ago. Practices with Multicare Health System, a 2,302-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

17700 SE 272nd St Ste 105
Kent, WA 98042-4951
Phone: (253) 792-6555
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1227641

Record details

NPI number1215810064
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 29, 2025
Last updated in NPPESJanuary 30, 2026
Certification dateJanuary 30, 2026
Mailing address17700 Se 272nd St Ste 105, Covington, WA 98042-4951

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Multicare Health System — 2302 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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