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

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 May 2025.

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
05-21-2025
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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)
1363AM0700XPhysician 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
  • HSA Qualified 7100 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature 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.

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.

  • 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: I20220307001786, I20220803000344

    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.

Reviews for JENNIFER WILLIS MPAS, PA-C

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134540941
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2164104098
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 0 + 4 + 0 + 9 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1134540941 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

DR. DARA HEISLER CHRISTANTE MD

Colon & Rectal Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 624-2326

KAI LINSAY SHARBONO M.D.

Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

TIMOTHY W BAX MD

Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

MICHAEL R MOORE MD

Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

DR. NICHOLAS GERARD BERGER M.D.

Colon & Rectal Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

PAUL H LIN MD

Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

RANA N AHMAD MD

Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 624-2326

CARRIE ANN ROLLER MD

Otolaryngology

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

DANIEL GILSDORF M.D.

Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

DAVID MICHAEL BROWN M.D.

Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

JENNIFER GLATT MD

Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

MS. CARROLL NOEL MADSEN

Physician Assistant

(Surgical)

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

DR. DARA LYNN HORN M.D.

Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

MR. CHRISTIAN J GUTSCHE PA-C

Physician Assistant

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

ANN K SELTMAN MD

Colon & Rectal Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

MR. CHRISTOPHER D. BELL PA-C

Physician Assistant

(Surgical)

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

MICHAEL RUSSELL

Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

JESSICA BRATHWAITE DO

Surgery

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

TRACEY N HOPPER

Physician Assistant

(Surgical)

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

ALYSSA MARIE MUELLER ARNP

Nurse Practitioner

217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201

(509) 747-6194

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.