Ty C. Gulstrom, PA- C
Physician Assistant · Mount Vernon, WA
Ty C. Gulstrom, PA- C is a physician assistant with a practice address in Mount Vernon, Washington, and NPI 1558306373, issued on Jun 17, 2006. Check the license (Washington PA10004348, as entered in NPPES) with the Washington board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Ty C. Gulstrom
- Credential
- PA- C
- Primary taxonomy
- Physician Assistant 363A00000X
- License number
- PA10004348 WA
Self-reported in NPPES; status is on the state search - Practice location
- 1400 E. Kincaid Street, Mount Vernon, WA 98274
- Phone
- (360) 428-6434
- Enumerated
- Jun 17, 2006
- Record last updated
- Feb 18, 2015 (not updated in 11 years: call before relying on the address or phone)
- Fax
- (360) 848-4233
- Medicaid ID
- 8386484 WA
- Entity
- Type 1 · individual
8 nearest physician assistant records → All 3,718 in Washington → Look up another NPI →
Also registered at 1400 E. Kincaid Street
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Sandeep Bal, MDInternal Medicine Physician1386819449
- Oscar Briseno, MDCardiovascular Disease Physician1770794331
- Larry Carnes, PA-CMedical Physician Assistant1649238205
- Joshua Griggs, MDFamily Medicine Physician1164463378
- Eugene Hong, MDUrology Physician1720166812
- Sheila Kenning, ARNPNurse Practitioner1073713186
Verify Ty C. Gulstrom in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Washington board licenses this profession
Search for license PA10004348Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
58% fewer Medicare Part D claims than the average physician assistant in 2024
350 Medicare Part D claims for 194 beneficiaries, against an average of 830 among the 101,058 providers of this specialty who prescribed in Part D. 11 claims were for opioids.
Most prescribed
- Prednisone29 claims
- Doxycycline Hyclate27 claims
- Cephalexin24 claims
- Albuterol Sulfate Hfa20 claims
- Amoxicillin18 claims
- Azithromycin17 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
Industry payments in 2024: $14.72
1 payment: food and beverage; the largest payer was Exact Sciences Corporation. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Ty C. Gulstrom among 3,718 physician assistant records in Washington
Ty C. Gulstrom, PA- C is one of 3,718 physician assistant records with a practice address in Washington. 76% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 3% of them.
- NPI issued2006 · 3% of these records are older, 80% newer
- In a Medicare fileYes · 76% of these records are
- In the CMS Doctors and Clinicians fileNo · 66% of these records are
- Record last updated2015 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Washington practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
23 physician assistant records list a practice address in Mount Vernon
They are 23 of the 1,500 NPPES records with a practice address in Mount Vernon, and 3,718 physician assistant records in Washington.
All 3,718 in Washington → Every provider in Mount Vernon → Physician Assistant nationwide →
The 8 physician assistant records with the nearest ZIP codes
- Nino Boissonneault, PA-CMount Vernon, WA 982741881911105
- Alan Clark, PA-CMount Vernon, WA 982741538196134
- Kathryn Dougherty, PA-CMount Vernon, WA 982741346843695
- Alyssa Enghauser, PA-CMount Vernon, WA 982741730922402
- Richard Gerlach, PA-CMount Vernon, WA 982741629076591
- Natalie HoyteMount Vernon, WA 982741558853374
- Evelina Kravchuk, PA-CMount Vernon, WA 982741962117853
- Margaret Longley, PA-CMount Vernon, WA 982741871152819
Common questions
What is Ty C. Gulstrom, PA- C's NPI number?
Ty C. Gulstrom, PA- C's National Provider Identifier (NPI) is 1558306373, issued on Jun 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Ty C. Gulstrom, PA- C located?
The NPPES record lists a practice address at 1400 E. Kincaid Street, Mount Vernon, WA, 98274. Phone: (360) 428-6434. Providers update this record themselves, so call before visiting.
How can I verify Ty C. Gulstrom, PA- C's license?
NPPES lists Washington license number PA10004348, as entered by the provider. Search the Washington board that licenses this profession; the NPPES record confirms identity only.
How much does Ty C. Gulstrom, PA- C prescribe under Medicare Part D?
In 2024, Ty C. Gulstrom, PA- C had 350 Medicare Part D claims for 194 beneficiaries; the average among physician assistant prescribers was 830. Part D covers Medicare prescriptions only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.