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JACOB LEASE
NPI 1174343180
Physician Assistant in Battle Ground, WA

Active since October 14, 2024PECOS EnrolledAccepts Medicare Assignment
101 NW 12TH AVE STE 107, BATTLE GROUND, WA 98604(360) 723-0528 Get Directions Write a Review

NPPES record last updated: February 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Lease NPPES

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

JACOB LEASE (NPI 1174343180) is an individual physician assistant in Battle Ground, Washington and active in the NPI registry since October 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174343180
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACOB LEASE
Location Address101 NW 12TH AVE STE 107Battle Ground, WA 98604-9141
Mailing Address21204 Nw 31st AveRidgefield, WA 98642-8523 · (509) 342-9341
Phone(360) 723-0528
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 14, 2024
Last NPPES UpdateFebruary 13, 2026
NPPES CertifiedFebruary 13, 2026
✔ NPI 1174343180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
101 NW 12TH AVE STE 107, Battle Ground, WA 98604
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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

Jacob Lease 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 ID6608348792
PECOS Enrollment IDI20260619001163
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 98604 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VITAL CARE, PLLC
Clinic/Center (Urgent Care)
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Clark County (360) 723-0528
ROCHELLE J BLANTON NP
Nurse Practitioner
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Clark County (360) 723-0528
REBECCA WILKINSON FNP-C, APRN, RN
Nurse Practitioner (Family)
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Clark County (360) 723-0528
JOELLEN PODLOG PA-C
Physician Assistant
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Clark County (360) 723-0528
NATHAN GOINS PSYD
Psychologist (Clinical)
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Clark County (360) 666-4480
DAVID J ALLEN PA-C
Physician Assistant (Medical)
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Clark County (360) 723-0528
KASSIDY NOELLE BRUGMAN PA-C
Physician Assistant
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Clark County (360) 723-0528
ELLIE OSSENKOP
Registered Nurse (Ambulatory Care)
101 NW 12TH AVE STE 107
BATTLE GROUND, WA 98604
Clark County (360) 723-0528

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 Jacob Lease's NPI number?

The NPI number for Jacob Lease is 1174343180. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Jacob Lease located?

Jacob Lease practices at 101 NW 12th Ave Ste 107, Battle Ground, WA 98604. The listed phone number is (360) 723-0528.

What is Jacob Lease's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jacob Lease enrolled in Medicare?

Yes. Jacob Lease 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.

When was this NPI record last updated?

The NPPES record for Jacob Lease was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.