DR. JEREMY WADE VAN GIESON D.O.
NPI 1265640767
Family Medicine in Puyallup, WA
About Dr. Jeremy Wade Van Gieson D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JEREMY WADE VAN GIESON D.O. (NPI 1265640767) is an individual family medicine provider in Puyallup, Washington, licensed in Washington (OP60200199) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Jeremy Wade Van Gieson D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Jeremy Van Gieson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Puyallup, WA 98374
- Reassigned Medicare billing, Washington enrollment
- 58 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 911 clinicians in this Medicare group
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 1,285 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98374 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
PUYALLUP, WA 98374
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 Jeremy Van Gieson's NPI number?
The NPI number for Jeremy Van Gieson is 1265640767. It was assigned to this individual provider in the NPPES registry on May 18, 2007.
Where is Jeremy Van Gieson located?
Jeremy Van Gieson practices at 11216 Sunrise Blvd E # 3-106, Puyallup, WA 98374. The listed phone number is (253) 848-5951.
What is Jeremy Van Gieson's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Jeremy Van Gieson enrolled in Medicare?
Yes. Jeremy Van Gieson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Jeremy Van Gieson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Van Gieson reassigns Medicare benefits to 3 organizations: South Hill Family Medicine PC (Puyallup, WA), The Polyclinic (Seattle, WA) and Optum Care Washington PLLC (Everett, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Van Gieson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jeremy Van Gieson accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jeremy Van Gieson 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 Jeremy Van Gieson was last updated on January 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.
# Dr. Jeremy Wade Van Gieson, D.O. · NPI 1265640767
Family Medicine physician in Puyallup, Washington. Individual provider, active in the CMS NPPES registry since May 18, 2007.
## Identity
- **NPI:** 1265640767 (Entity type: Individual)
- **Enumerated:** May 18, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OP60200199 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 11216 SUNRISE BLVD E, # 3-106, Puyallup, WA 98374-8848
- **Phone:** (253) 848-5951 · **Fax:** (253) 845-7073
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): South Hill Family Medicine PC (NPI 1538253331, Puyallup, WA); The Polyclinic (NPI 1073944039, Seattle, WA); Optum Care Washington PLLC (NPI 1831186766, Everett, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2016
- **Other identifiers:** Medicare PIN G8900644 (WA)
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Source: [NPI Profile](https://npiprofile.com/npi/1265640767) · Data from the CMS NPPES public registry.