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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RAFFY JATAMOSA
NPI 1013542885
Nurse Practitioner in Olympia, WA

Active since March 11, 2020PECOS Enrolled
413 LILLY RD NE, OLYMPIA, WA 98506(360) 491-9480 Get Directions Write a Review

NPPES record last updated: August 8, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2026, Mar 11, 2020 (2 updates tracked since 2020).

About Raffy Jatamosa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAFFY JATAMOSA (NPI 1013542885) is an individual nurse practitioner in Olympia, Washington, licensed in Washington (1013542885) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013542885
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameRAFFY JATAMOSA
Location Address413 LILLY RD NEOlympia, WA 98506-5133
Mailing Address413 Lilly Rd NeOlympia, WA 98506-5133 · (360) 491-9480
Phone(360) 491-9480
Sole ProprietorYes
Enumeration DateMarch 11, 2020
Last NPPES UpdateAugust 8, 20262 updates tracked since enumeration
NPPES CertifiedAugust 8, 2026
✔ NPI 1013542885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WA · 1013542885
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
413 LILLY RD NE, Olympia, WA 98506
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raffy Jatamosa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98506 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JEFFREY HOWARD MD
Emergency Medicine
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 491-9480
DR. PENELOPE ANNE GOODE M.D.
Emergency Medicine
413 LILLY RD NE, OLYMPIA EMERGENCY SERVICES
OLYMPIA, WA 98506
Thurston County (360) 493-4554
MR. URIEL JIMENEZ SANCHEZ
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7179
DANIEL HU
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-5438
CHANH TAM NGUYEN
Student in an Organized Health Care Education/Training Program
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7525
AMORY E.W. BALLANTINE LICSW
Social Worker (Clinical)
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 491-9480
JENNI YEA PHARMD
Pharmacist
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7411
KRISTEN SMULOVITZ LICSW
Social Worker (Clinical)
413 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 491-9480

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raffy Jatamosa's NPI number?

The NPI number for Raffy Jatamosa is 1013542885. It was assigned to this individual provider in the NPPES registry on March 11, 2020.

Where is Raffy Jatamosa located?

Raffy Jatamosa practices at 413 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 491-9480.

What is Raffy Jatamosa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Raffy Jatamosa enrolled in Medicare?

Yes. Raffy Jatamosa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Raffy Jatamosa was last updated on August 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.