JENNIFER KAY EICKSTADT PA-C
NPI 1417259060
Physician Assistant - Medical in Spokane, WA

Q: What is Jennifer Eickstadt's NPI number?

The NPI number for Jennifer Eickstadt is 1417259060. It was assigned to this individual provider in the NPPES registry on December 1, 2010.

Q: What is Jennifer Eickstadt's specialty?

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

Active since December 01, 2010PECOS EnrolledAccepts Medicare Assignment

6002 N LIDGERWOOD ST, SPOKANE, WA 99208(509) 482-4402(509) 482-5071 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2021, Mar 23, 2020, Mar 19, 2020 and 2 more (5 updates tracked since 2018).

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About Jennifer Kay Eickstadt Pa-c NPPES

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

JENNIFER KAY EICKSTADT PA-C (NPI 1417259060) is an individual medical provider in Spokane, Washington, licensed in Washington (PA60188676) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and is a graduate of Other (2010).

NPPES Registry Identity

NPI1417259060

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJENNIFER KAY EICKSTADTCredential: PA-C

Location Address6002 N LIDGERWOOD STSpokane, WA 99208-1124

Mailing Address6002 N Lidgerwood StSpokane, WA 99208-1124 · (509) 482-4402 · Fax (509) 482-5071

Phone(509) 482-4402

Fax(509) 482-5071

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateDecember 1, 2010

Last NPPES UpdateMarch 30, 20215 updates tracked since enumeration

NPPES CertifiedMarch 30, 2021

✔ NPI 1417259060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in WA · PA60188676✔ Licensed in ID · PA-880

6002 N LIDGERWOOD ST, Spokane, WA 99208

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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

Jennifer Kay Eickstadt Pa-c 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 ID1850573668

PECOS Enrollment IDI20160913002510

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 5

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

72 services45 patients

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.

37 services28 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

29 services22 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

21 services21 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

21 services21 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number500054

Location101 West 8th AvenueSpokane, WA 99204 · Spokane County

Emergency services Birthing friendly

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 supplier13 claims13 services$36.33 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.

ROBERT E PISTON MD

Pediatrics