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JERRY WAYNE SCOTT III PA-C
NPI 1346824703
Physician Assistant - Medical in Tacoma, WA

Active since May 11, 2021PECOS Enrolled
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2252 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2024, Jun 11, 2024, Jul 25, 2022 and 1 more (4 updates tracked since 2021).

About Jerry Wayne Scott Iii Pa-c NPPES

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

JERRY WAYNE SCOTT III PA-C (NPI 1346824703) is an individual medical provider in Tacoma, Washington, licensed in Washington (PA61501433) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Puyallup, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1346824703
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJERRY WAYNE SCOTT IIICredential: PA-C
Location AddressMADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVETacoma, WA 98431-5318
Mailing AddressMadigan Army Medical Center 9040 Jackson AveTacoma, WA 98431-0001 · (253) 968-2252
Phone(253) 968-2252
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 11, 2021
Last NPPES UpdateSeptember 27, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
✔ NPI 1346824703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA61501433
Also ListedPhysician AssistantTaxonomy 363A00000X
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, Tacoma, WA 98431
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Other Names 1

Other Name (5)Trey Scott Pac

Secondary Practice Location 1

Location 115214 Canyon Rd E Ste 100Puyallup, WA 98375-7457 · Phone (253) 539-4200 · Fax (253) 539-6005

Other Identifiers 1

Medicaid2285359WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerry Wayne Scott Iii Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719420215
PECOS Enrollment IDI20250728001611
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services19 patients

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.

KENNETH E CLIFTON MS
Social Worker (Clinical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-4631
DR. MICHAEL ANTHONY D'ANGELO JR. PSY.D.
Psychologist (Clinical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-5370
CHLOE WYEN LMHC
Counselor (Mental Health)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-0002
CRYSTAL-ANN SPANN RN
Registered Nurse (Case Management)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 966-3677
DR. JONATHAN LEE CAMERON DNP, CRNA
Military Health Care Provider
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2252
MARGARET MARY FAHY PA
Physician Assistant (Medical)
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-0432
MICHAEL A. BORK DO
General Practice
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-2462
DR. PETER STULL MD
Emergency Medicine
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 98431
Pierce County (253) 968-1250

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 Jerry Scott's NPI number?

The NPI number for Jerry Scott is 1346824703. It was assigned to this individual provider in the NPPES registry on May 11, 2021. The provider is also known as Trey Scott Pac.

Where is Jerry Scott located?

Jerry Scott practices at Madigan Army Medical Center 9040 Jackson Ave, Tacoma, WA 98431. The listed phone number is (253) 968-2252.

What is Jerry Scott's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jerry Scott enrolled in Medicare?

Yes. Jerry Scott is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jerry Scott was last updated on September 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.