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

Glenn Andrew Mahoney, PAC

Individual provider Medical Physician Assistant · NPI 1841263365

Glenn Andrew Mahoney, PAC is a Physician Assistant in Lake Stevens, Washington. Qualified in 2005, 21 years ago. Practices with Cep America LLC, a 985-clinician group and accepts Medicare assignment. Licensed in Georgia, Nevada and Washington.

Years since qualifying
21
Licensed in
GA, NV, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

8910 Vernon Rd
Lake Stevens, WA 98258
Phone: (425) 335-0966
Fax: (425) 335-5145
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 12451 (GA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PAC942 (NV)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA60042438 (WA)

Record details

NPI number1841263365
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedFebruary 8, 2006
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Cep America Llc — 985 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients93
Services billed 111 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician. Those with a page here are linked.

Colleagues at Cep America LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 985 clinicians in the practice; 12 are shown here.