DANIELLE BERGAN DEBELAK NPI 1063598811

NPI Information

  • NPI: 1063598811
  • Provider Name: DANIELLE BERGAN DEBELAK
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: WOODINVILLE TOWNE CENTER
    17638 140TH AVE NE
    WOODINVILLE, WA
    ZIP 98072
  • Phone: (425) 485-4100

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NPI Details

Danielle Bergan Debelak is a family medicine in Woodinville, WA with 23 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Danielle Bergan Debelak NPI is 1063598811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:2002

The provider's business location address is:

WOODINVILLE TOWNE CENTER
17638 140TH AVE NE
WOODINVILLE, WA
ZIP 98072
Phone: (425) 485-4100

The NPI 1063598811 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Hemoglobin a1c level (HCPCS:83036)
  • Sarscov2 vac 30 mcg trs-sucr (HCPCS:91305)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Coronavirus vaccine 13 (HCPCS:91312)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineMD00044058WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18881279MEDICARE PINWASHINGTON
20203838OTHERWASHINGTONL&I
3I46925MEDICARE UPIN
41063598811MEDICAIDWASHINGTON
52040302OTHERINTERNAL ID-MOTOR VEHICLE ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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