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
- 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
- Code Navigator
Location Map
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) |
---|---|---|---|---|
1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 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. | |||||||||
1 | 1 | 3 | 4 | 5 | 4 | 0 | 9 | 4 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 1 | 6 | 4 | 10 | 4 | 0 | 9 | 8 | |
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 = 1 | 1 |
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
KAI LINSAY SHARBONO M.D.
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
TIMOTHY W BAX MD
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
MICHAEL R MOORE MD
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
DR. NICHOLAS GERARD BERGER M.D.
Colon & Rectal Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
PAUL H LIN MD
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
RANA N AHMAD MD
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
CARRIE ANN ROLLER MD
Otolaryngology
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
DANIEL GILSDORF M.D.
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
DAVID MICHAEL BROWN M.D.
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
JENNIFER GLATT MD
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
MS. CARROLL NOEL MADSEN
Physician Assistant
(Surgical)
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
DR. DARA LYNN HORN M.D.
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
MR. CHRISTIAN J GUTSCHE PA-C
Physician Assistant
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
ANN K SELTMAN MD
Colon & Rectal Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
MR. CHRISTOPHER D. BELL PA-C
Physician Assistant
(Surgical)
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
MICHAEL RUSSELL
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
JESSICA BRATHWAITE DO
Surgery
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
TRACEY N HOPPER
Physician Assistant
(Surgical)
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 99201
ALYSSA MARIE MUELLER ARNP
Nurse Practitioner
217 W CATALDO AVE FL 3
SPOKANE, WA
ZIP 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.