JENIFER MOE MATSUDA PHYSICIAN ASSISTANT
NPI 1174220693
Physician Assistant in Seattle, WA

Active since February 15, 2023PECOS Enrolled
4800 SAND POINT WAY NE, SEATTLE, WA 98105(206) 987-2000 Get Directions Write a Review

NPPES record last updated: February 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 22, 2023, Feb 15, 2023 (2 updates tracked since 2023).

About Jenifer Moe Matsuda Physician Assistant NPPES

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

JENIFER MOE MATSUDA PHYSICIAN ASSISTANT (NPI 1174220693) is an individual physician assistant in Seattle, Washington, licensed in Washington (61388585) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174220693
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENIFER MOE MATSUDACredential: PHYSICIAN ASSISTANT
Location Address4800 SAND POINT WAY NESeattle, WA 98105-3901
Mailing Address4800 Sand Point Way NeSeattle, WA 98105-3901 · (206) 987-2000
Sole ProprietorNo
Enumeration DateFebruary 15, 2023
Last NPPES UpdateFebruary 22, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2023
NPI 1174220693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WA · 61388585
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

4800 SAND POINT WAY NE, Seattle, WA 98105

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jenifer Moe Matsuda Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Pharmacist (Pharmacotherapy)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Pediatrics
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Genetic Counselor, MS
4800 SAND POINT WAY NE, M2-9
SEATTLE, WA 98105
Genetic Counselor, MS
4800 SAND POINT WAY NE, BIOCHEMICAL GENETICS
SEATTLE, WA 98105
Nurse Practitioner (Family)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
Pediatrics (Pediatric Cardiology)
4800 SAND POINT WAY NE, CHILDRENS HEART CENTER MS G-0035
SEATTLE, WA 98105
Genetic Counselor, MS
4800 SAND POINT WAY NE, CHILDREN'S HOSP & REG MED CTR, MEDICAL GENETICS M2-9
SEATTLE, WA 98105
Pediatrics (Pediatric Hematology-Oncology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174220693, enumerated as an "individual" on February 15, 2023.

The provider is located at 4800 SAND POINT WAY NE SEATTLE, WA 98105 and the phone number is (206) 987-2000.

Physician Assistant with taxonomy code 363A00000X.

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.