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Active NPI 1699458927 Individual Practitioner Male Practitioner

Jacob John Massarelli , PA-C

Physician Assistant • Centralia, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Jacob Massarelli, PA-C is a certified Physician Assistant practicing in Centralia, WA. With approximately 3 years of clinical experience since completing medical education in 2023, Jacob Massarelli delivers high-quality medical care to the local community at 1800 COOKS HILL RD STE F.

Jacob Massarelli is affiliated with Lewis County Community Health Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1800 Cooks Hill Rd Ste F

Centralia, WA 985319162

Telephone 3606690335
Fax 3607362967
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Centralia, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -5.9 yrs vs City Avg
City Avg: 8.9 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
27 Specialists

Practicing in Centralia, WA (3774 Statewide)

Telehealth Adoption Rate
3.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
87.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Massarelli (3 Years) 3 Yrs
Centralia Specialty Average (8.9 Years) 8.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
83036 Hemoglobin A1C level
23 15 $75.00 $9.52

Medical Specialties & State Licenses

CMS Verified: 2023-10-19
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA61478292

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2261548 (WA)

Hospital & Practice Group Affiliations

Lewis County Community Health Services

2690 Ne Kresky Ave, Chehalis, WA 985322412

Phone: 3603309595

Lewis County Community Health Services

117 Ramsey Way, Toledo, WA 985919900

Phone: 3608644400

Lewis County Community Health Services

2690 Ne Kresky Ave, Chehalis, WA 985322412

Lewis County Community Health Services

1800 Cooks Hill Rd, Centralia, WA 985319162

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Heather Day , APNP

Nurse Practitioner - Family

NPI 1265767487

Advanced Practice Nurse Prescriber

William Millar , PA

Physician Assistant - Medical

NPI 1285709873

Physician Assistant

NPI 1407226681

Advanced Registered Nurse Practitioner

Michelle Stover , ARNP

Nurse Practitioner - Family

NPI 1447884374

Advanced Registered Nurse Practitioner

Dr. Behrooz Soleimani , ARNP, DNP

Nurse Practitioner - Family

NPI 1477216653

Advanced Registered Nurse Practitioner, Doctor of Nursing Practice

Amy Mills , RN

Registered Nurse

NPI 1487416244

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location October 19, 2023

Registered at 1800 COOKS HILL RD STE F, CENTRALIA, WA 985319162 (Tel: 3606690335)

📍
Updated Business Mailing Address October 19, 2023

Registered at 2690 NE KRESKY AVE, CHEHALIS, WA 985322412 (Tel: 3603309595)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 19, 2023

Physician Assistant (License #PA61478292 in WA)

NPI Profile Active August 11, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 11, 2023

Registered at 705 SE BASELINE ST, HILLSBORO, OR 971234244 (Tel: 5033576151)

📍
Updated Business Mailing Address August 11, 2023

Registered at PO BOX 25645, PORTLAND, OR 972980645 (Tel: 7248755134)

👤
Provider Name / Credentials Updated August 11, 2023

Recorded as JACOB MASSARELLI, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 11, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699458927
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2023
Last Update: October 19, 2023
Sole Proprietor: No

Mailing Address

2690 Ne Kresky Ave

Chehalis, WA 985322412

Phone: 3603309595

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.