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

Active since December 20, 2013PECOS EnrolledAccepts Medicare Assignment
217 W CATALDO AVE FL 3, SPOKANE, WA 99201(509) 747-6194(509) 838-0824 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 24, 2026, May 21, 2025, Nov 29, 2022 (3 updates tracked since 2022).

About Jennifer Willis Mpas, Pa-c NPPES

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

JENNIFER WILLIS MPAS, PA-C (NPI 1134540941) is an individual surgical provider in Spokane, Washington, licensed in Washington (PA61230443) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1134540941
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJENNIFER WILLISCredential: MPAS, PA-C
Location Address217 W CATALDO AVE FL 3Spokane, WA 99201-2217
Mailing AddressPo Box 31001-4114Pasadena, CA 91110-4114 · (866) 747-2455 · Fax (509) 227-7070
Phone(509) 747-6194
Fax(509) 838-0824
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 20, 2013
Last NPPES UpdateApril 24, 20263 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1134540941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in WA · PA61230443
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA61230443 (WA)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA0275 (NV)
217 W CATALDO AVE FL 3, Spokane, WA 99201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, 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

Jennifer Willis Mpas, 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 ID6103059456
PECOS Enrollment IDI20140512001859, I20220307001786
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.

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.

MICHAEL RUSSELL
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Spokane County (509) 747-6194
DR. DARA HEISLER CHRISTANTE MD
Colon & Rectal Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Spokane County (509) 624-2326
KAI LINSAY SHARBONO M.D.
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Spokane County (509) 747-6194
MR. CHRISTIAN J GUTSCHE PA-C
Physician Assistant
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Spokane County (509) 747-6194
TIMOTHY W BAX MD
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Spokane County (509) 747-6194
MR. CHRISTOPHER D. BELL PA-C
Physician Assistant (Surgical)
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Spokane County (509) 747-6194
MICHAEL R MOORE MD
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Spokane County (509) 747-6194
NHUNG SCARLET JESSEN PA-C
Physician Assistant
217 W CATALDO AVE FL 3
SPOKANE, WA 99201
Spokane County (509) 747-6194

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 Jennifer Willis's NPI number?

The NPI number for Jennifer Willis is 1134540941. It was assigned to this individual provider in the NPPES registry on December 20, 2013.

Where is Jennifer Willis located?

Jennifer Willis practices at 217 W Cataldo Ave Fl 3, Spokane, WA 99201. The listed phone number is (509) 747-6194.

What is Jennifer Willis's specialty?

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

Is Jennifer Willis enrolled in Medicare?

Yes. Jennifer Willis 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 Jennifer Willis accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jennifer Willis 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.

When was this NPI record last updated?

The NPPES record for Jennifer Willis was last updated on April 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.