Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497736110 Individual Practitioner Male Practitioner

John Russell Prentice , PA-C

Physician Assistant • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

John Prentice, PA-C is a registered healthcare professional specializing in Physician Assistant in Vancouver, WA. Practice services are available at 11808 NE FOURTH PLAIN RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11808 Ne Fourth Plain Rd
Suite A

Vancouver, WA 986825524

Telephone 3602536947
Fax 3602569547
Associated Practice Facility / Clinic
🏢 Urgent Medical Center Ps Facility NPI 1740321553

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Vancouver, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
208 Specialists

Practicing in Vancouver, WA (3774 Statewide)

Telehealth Adoption Rate
21.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
65.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
51 41 $184.53 $64.27

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WV PA10002522

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.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Michael Mcquivey , PT

Physical Therapist

NPI 1316928765

Physical Therapist

James Stupfel , PA-C

Physician Assistant

NPI 1437130143

Physician Assistant (Certified)

Dr. Amar Bhuta , MD

Internal Medicine

NPI 1518925213

Doctor of Medicine (M.D.)

Richard Enders , PA-C

Physician Assistant

NPI 1598977746

Physician Assistant (Certified)

Julia Wirth , OTR, L

Occupational Therapist

NPI 1609859685

Occupational Therapist Registered, L

Crystal Monaghan , LMP

Massage Therapist

NPI 1639479413

Licensed Massage Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 11808 NE FOURTH PLAIN RD, SUITE A, VANCOUVER, WA 986825524 (Tel: 3602536947)

📍
Updated Business Mailing Address July 08, 2007

Registered at 11808 NE FOURTH PLAIN RD, SUITE A, VANCOUVER, WA 986825524 (Tel: 3602536947)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN PRENTICE, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Physician Assistant (License #PA10002522 in WV)

🟢
Initial NPI Registration & Enumeration November 09, 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: 1497736110
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

11808 Ne Fourth Plain Rd, Suite A

Vancouver, WA 986825524

Phone: 3602536947

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.