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Active NPI 1861485773 Individual Practitioner Female Practitioner

J Kelsey Jackson , PA-C

Physician Assistant - Medical • Pasco, WA

Professional Overview & Biography Verified Profile Summary

J Jackson, PA-C is a registered healthcare professional specializing in Physician Assistant - Medical in Pasco, WA. Practice services are available at 520 N 4TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

520 N 4th Ave
Pulmonary Svcs

Pasco, WA 993015257

Telephone 5095446140
Fax 5095446163
Associated Practice Facility / Clinic
🏢 Nuclear Medicine Services Facility NPI 1336133644

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Medical in Pasco, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Pasco, WA (1096 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant - Medical Primary Specialty

NUCC Taxonomy Code: 363AM0700X

State License WA PA10003084

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8900888 (WA)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Randall Pierce , PA-C

Physician Assistant

NPI 1447499751

Physician Assistant (Certified)

NPI 1821834052

Advanced Registered Nurse Practitioner, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active November 14, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2007

Registered at 520 N 4TH AVE, PULMONARY SVCS, PASCO, WA 993015257 (Tel: 5095446140)

📍
Updated Business Mailing Address November 14, 2007

Registered at 520 N 4TH AVE, PULMONARY SVCS, PASCO, WA 993015257 (Tel: 5095446140)

👤
Provider Name / Credentials Updated November 14, 2007

Recorded as J JACKSON, PA -C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2007

Physician Assistant (License #PA10003084 in WA)

🟢
Initial NPI Registration & Enumeration August 25, 2005

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: 1861485773
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 25, 2005
Last Update: November 14, 2007
Sole Proprietor: No
Update or Correct Profile

Mailing Address

520 N 4th Ave, Pulmonary Svcs

Pasco, WA 993015257

Phone: 5095446140

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.