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

Zachary Adam Sullivan, PA-C

Individual provider Physician Assistant · NPI 1467950782

Zachary Adam Sullivan, PA-C is a Physician Assistant in Bonney Lake, Washington. Qualified in 2017, 9 years ago. Practices with Franciscan Medical Group, a 1,417-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

9230 Sky Island Dr E
Bonney Lake, WA 98391-7385
Phone: (253) 750-6000
Fax: (253) 627-7880
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60831973 (WA)

Record details

NPI number1467950782
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 1, 2018
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 18, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Franciscan Medical Group — 1417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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