MR. JACKSON WATSON
NPI 1124696653
Physician Assistant - Medical in Lynnwood, WA

Q: What is Jackson Watson's NPI number?

The NPI number for Jackson Watson is 1124696653. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Q: What is Jackson Watson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jackson Watson was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since June 11, 2021PECOS EnrolledAccepts Medicare Assignment

19020 33RD AVE W STE 210, LYNNWOOD, WA 98036(425) 563-1500(425) 563-1374 Get Directions Write a Review

NPPES record last updated: November 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 21, 2023, Jun 11, 2021 (2 updates tracked since 2021).

On this page

About Mr. Jackson Watson NPPES

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

MR. JACKSON WATSON (NPI 1124696653) is an individual medical provider in Lynnwood, Washington, licensed in Washington (PA61438621) and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and maintains a secondary practice location in Everett.

NPPES Registry Identity

NPI1124696653

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. JACKSON WATSON

Location Address19020 33RD AVE W STE 210Lynnwood, WA 98036-4748

Mailing Address19020 33rd Ave W Ste 210Lynnwood, WA 98036-4748 · (425) 563-1500 · Fax (425) 563-1374

Phone(425) 563-1500

Fax(425) 563-1374

Sole ProprietorNo

Medical School CMSMercer University School Of MedicineGraduated 2021

Enumeration DateJune 11, 2021

Last NPPES UpdateNovember 21, 20232 updates tracked since enumeration

NPPES CertifiedNovember 21, 2023

✔ NPI 1124696653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in WA · PA61438621

19020 33RD AVE W STE 210, Lynnwood, WA 98036

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Secondary Practice Location 1

Location 13102 Colby AveEverett, WA 98201-4025 · Phone (425) 258-8110 · Fax (425) 258-6281

Other Identifiers 1

Medicaid2254430WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.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

Mr. Jackson Watson 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 ID3678979572

PECOS Enrollment IDI20230802001213

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.

Aspiration of fluid from chest cavity using imaging guidance 32555

This procedure, known as a thoracentesis, involves removing fluid from the space between the lungs and chest wall, called the pleural space. It's performed under imaging guidance to ensure precision. It can help diagnose conditions or relieve symptoms like shortness of breath.

16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number500051

Location1035-116th Ave NEBellevue, WA 98004 · King County

Emergency services Birthing friendly

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500124

Location12040 NE 128th StreetKirkland, WA 98034 · King 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.

DR. MICHAEL LARSON M.D.

Radiology (Vascular & Interventional Radiology)