DR. JEREMY WADE VAN GIESON D.O.
NPI 1265640767
Family Medicine in Puyallup, WA

Active since May 18, 2007PECOS Enrolled
11216 SUNRISE BLVD E, # 3-106, PUYALLUP, WA 98374(253) 848-5951(253) 845-7073 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2016, Nov 13, 2015 (2 updates tracked since 2015).

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

NPI1265640767
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JEREMY WADE VAN GIESONCredential: D.O.
Location Address11216 SUNRISE BLVD E, # 3-106Puyallup, WA 98374-8848
Mailing Address3908 10th St SePuyallup, WA 98374-2188 · (253) 848-5951 · Fax (253) 845-7073
Fax(253) 845-7073
Sole ProprietorNo
Enumeration DateMay 18, 2007
Last NPPES UpdateJanuary 25, 20162 updates tracked since enumeration
NPI 1265640767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WA · OP60200199
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
11216 SUNRISE BLVD E, Puyallup, WA 98374

Other Identifiers 1

Medicare PING8900644WA

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)

Dr. Jeremy Wade Van Gieson D.o. 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 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.

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
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier14 claims14 services$21.63 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Massage Therapist
11216 SUNRISE BLVD E
PUYALLUP, WA 98374
Durable Medical Equipment & Medical Supplies
11216 SUNRISE BLVD E, #3-209
PUYALLUP, WA 98374
Massage Therapist
11216 SUNRISE BLVD E, SUITE 3-108
PUYALLUP, WA 98374
Family Medicine
11216 SUNRISE BLVD E, # 3-106
PUYALLUP, WA 98374
Nurse Practitioner
11216 SUNRISE BLVD E, STE 3-207
PUYALLUP, WA 98374
Physician Assistant
11216 SUNRISE BLVD E, # 3-106
PUYALLUP, WA 98374
Family Medicine
11216 SUNRISE BLVD E, # 3-106
PUYALLUP, WA 98374
Massage Therapist
11216 SUNRISE BLVD E
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.

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.