JENNIFER WILLIS MPAS, PA-C
NPI 1134540941
Physician Assistant - Surgical in Spokane, WA

NPI Status: Active since December 20, 2013

Contact Information

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
Phone: (509) 747-6194
Fax: (509) 838-0824

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  • Individual
  • Female
  • Years of Experience 13
  • Physician Assistant
  • Surgical
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About JENNIFER WILLIS

This page provides the complete NPI Profile along with additional information for Jennifer Willis, a provider established in Spokane, Washington with a medical specialization in Physician Assistant, focusing in surgical and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1134540941 assigned on December 2013. The practitioner's primary taxonomy code is 363AS0400X with license number PA61230443 (WA). The provider is registered as an individual and her NPI record was last updated April 2026.

NPI
1134540941
Provider Name
JENNIFER WILLIS MPAS, PA-C
Gender
Female
Entity Type
Individual
Location Address
217 W CATALDO AVE FL 3 SPOKANE, WA 99201
Location Phone
(509) 747-6194
Location Fax
(509) 838-0824
Mailing Address
PO BOX 31001-4114 PASADENA, CA 91110
Mailing Phone
(866) 747-2455
Mailing Fax
(509) 838-0824
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
Yes
Enumeration Date
12-20-2013
Last Update Date
04-24-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA61230443
License State
WA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363A00000XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant

PA61230443 (WA)
2363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

PA0275 (NV)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jennifer Willis is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Jennifer Willis is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 6103059456

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20140512001859, I20220307001786

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for JENNIFER WILLIS MPAS, PA-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134540941, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
4
Doubled → 8
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 5 → 10 → 1 0 → 0 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 1 + 0 + 4 + 0 + 9 + 8 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1134540941.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Colon & Rectal Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Colon & Rectal Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Otolaryngology
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Physician Assistant
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Colon & Rectal Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Physician Assistant (Surgical)
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Physician Assistant (Surgical)
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Nurse Practitioner
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Colon & Rectal Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134540941, enumerated as an "individual" on December 20, 2013.

The provider is located at 217 W CATALDO AVE FL 3 SPOKANE, WA 99201 and the phone number is (509) 747-6194.

Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska and. Please consult your insurance carrier or call the provider to verify.