Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mr. Thomas Russell Prieskorn, PA-C

Individual provider Medical Physician Assistant · NPI 1366421174

Mr. Thomas Russell Prieskorn, PA-C is a Physician Assistant in Shelton, Washington. Qualified in 1996, 30 years ago. Practices with Public Hospital District No 1 of Mason County, a 57-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
30
Licensed in
WA
In the registry since
2006
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

901 Mountain View Dr
Shelton, WA 98584-4401 Not confirmed with CMS for 11 years — call before visiting
Phone: (360) 426-1611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA10004942 (WA)

Record details

NPI number1366421174
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 10, 2006
Last updated in NPPESMarch 3, 2015

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Public Hospital District No 1 Of Mason County — 57 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 patients29
Services billed 60 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

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.

Colleagues at Public Hospital District No 1 of Mason County

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 57 clinicians in the practice; 12 are shown here.

Other providers in Shelton