1. Home
  2. Directory
  3. Washington
  4. Longview
  5. Physician Assistant
  6. NPI Profile

JESSE R SHAFFER PA-C
NPI 1053647966
Physician Assistant - Surgical in Longview, WA

Active since October 27, 2009PECOS EnrolledAccepts Medicare Assignment
1615 DELAWARE ST, LONGVIEW, WA 98632(360) 501-3500(360) 501-3555 Get Directions Write a Review

NPPES record last updated: October 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesse R Shaffer Pa-c NPPES

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

JESSE R SHAFFER PA-C (NPI 1053647966) is an individual surgical provider in Longview, Washington, licensed in Washington (PA60108805) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Peacehealth St John Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1053647966
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJESSE R SHAFFERCredential: PA-C
Location Address1615 DELAWARE STLongview, WA 98632-2367
Mailing AddressPo Box 3002Longview, WA 98632-0302 · (360) 501-3500 · Fax (360) 501-3555
Phone(360) 501-3500
Fax(360) 501-3555
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 27, 2009
✔ NPI 1053647966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA60108805
1615 DELAWARE ST, Longview, WA 98632
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jesse R Shaffer Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789724105
PECOS Enrollment IDI20091216000248
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
24 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Peacehealth St John Medical Center

Acute Care Hospitals · Longview, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500041
Location1615 Delaware StreetLongview, WA 98632 · Cowlitz County
Emergency services Birthing friendly

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.

CHOONG R KIM M.D.
Radiology (Radiation Oncology)
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 636-4841
DR. STEVEN ROBERT SPENCE JR. DNP, ARNP, FNP-BC
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 816-5706
ALEXANDER SHAR MD
Internal Medicine (Hematology)
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-7878
PETER J LEYZAC CRNA
Nurse Anesthetist, Certified Registered
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2000
CHRISTINE WILSON PHARMD
Pharmacist
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2000
HOLLY WELLS FNP-BC
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2385
DR. KARA RUZICKA PHARMD
Pharmacist
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 636-4808
DONNA K LYNDS ARNP-C
Nurse Practitioner (Family)
1615 DELAWARE ST
LONGVIEW, WA 98632
Cowlitz County (360) 414-2000

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 Jesse Shaffer's NPI number?

The NPI number for Jesse Shaffer is 1053647966. It was assigned to this individual provider in the NPPES registry on October 27, 2009.

Where is Jesse Shaffer located?

Jesse Shaffer practices at 1615 Delaware St, Longview, WA 98632. The listed phone number is (360) 501-3500.

What is Jesse Shaffer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Jesse Shaffer enrolled in Medicare?

Yes. Jesse Shaffer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jesse Shaffer accept?

Health plans from Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Jesse Shaffer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jesse Shaffer affiliated with any hospitals?

According to CMS data, Jesse Shaffer is affiliated with Peacehealth St John Medical Center.

When was this NPI record last updated?

The NPPES record for Jesse Shaffer was last updated on October 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.