KATIE JASPER DO
NPI 1104569417
Family Medicine in Vancouver, WA
About Katie Jasper Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATIE JASPER DO (NPI 1104569417) is an individual family medicine provider in Vancouver, Washington, licensed in Washington (OP70026713) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2022).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Katie Jasper Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Katie Jasper reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Portland, OR 97227
- Reassigned Medicare billing, Oregon and Washington enrollments
- Also billed through NPI 1871848457 (Washington)
- 3,207 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98684 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
VANCOUVER, WA 98684
VANCOUVER, WA 98684
VANCOUVER, WA 98684
VANCOUVER, WA 98684
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 Katie Jasper's NPI number?
The NPI number for Katie Jasper is 1104569417. It was assigned to this individual provider in the NPPES registry on April 14, 2022. The provider is also known as Dr. Katie Dalgamouni Do.
Where is Katie Jasper located?
Katie Jasper practices at 12607 SE Mill Plain Blvd, Vancouver, WA 98684. The listed phone number is (800) 813-2000.
What is Katie Jasper's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Katie Jasper enrolled in Medicare?
Yes. Katie Jasper 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.
Which organization bills Medicare for Katie Jasper's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Katie Jasper reassigns Medicare benefits to Kaiser Foundation Health Plan Of The Northwest (Portland, OR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katie Jasper's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Katie Jasper was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Katie Jasper, DO · NPI 1104569417
Family Medicine physician in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since April 14, 2022.
## Identity
- **NPI:** 1104569417 (Entity type: Individual)
- **Enumerated:** April 14, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OP70026713 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 12607 SE MILL PLAIN BLVD, Vancouver, WA 98684-6055
- **Phone:** (800) 813-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Kaiser Foundation Health Plan Of The Northwest (NPI 1093043424, Portland, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific Nw Un Of Hs, Col Of Osteopathic Medicine, class of 2022
## Record status
- **NPPES last updated:** October 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104569417) · Data from the CMS NPPES public registry.