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JESUS PRIMITIVO RENDON PA-C
NPI 1467970616
Physician Assistant - Medical in Spokane, WA

Active since September 07, 2017PECOS EnrolledAccepts Medicare Assignment
5620 S REGAL ST STE 11, SPOKANE, WA 99223(509) 444-8200 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 9, 2019, Jun 5, 2019 (2 updates tracked since 2019).

About Jesus Primitivo Rendon Pa-c NPPES

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

JESUS PRIMITIVO RENDON PA-C (NPI 1467970616) is an individual medical provider in Spokane, Washington, licensed in Washington (PA60932463) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS and is a graduate of University Of Washington School Of Medicine (2018).

NPPES Registry Identity

NPI1467970616
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJESUS PRIMITIVO RENDONCredential: PA-C
Location Address5620 S REGAL ST STE 11Spokane, WA 99223-7957
Mailing Address611 N Iron Bridge WaySpokane, WA 99202-4932 · (509) 444-8888
Phone(509) 444-8200
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2018
Enumeration DateSeptember 7, 2017
Last NPPES UpdateApril 20, 20232 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
✔ NPI 1467970616 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
License✔ Licensed in WA · PA60932463
5620 S REGAL ST STE 11, Spokane, WA 99223
Open in Google Maps ↗

Other Identifiers 2

OtherOA60965163WA · State License
OtherPA60932463WA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Jesus Primitivo Rendon 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 ID1951634526
PECOS Enrollment IDI20190613001555
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.

Other Providers at the Same Location NPPES 6

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

COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Pharmacy (Clinic Pharmacy)
5620 S REGAL ST STE 11
SPOKANE, WA 99223
Spokane County (509) 444-8888
REBECCA HAUSERMAN
Social Worker (Clinical)
5620 S REGAL ST STE 11
SPOKANE, WA 99223
Spokane County (509) 444-8200
COMMUNITY HEALTH ASSOCIATION OF SPOKANE
Clinic/Center (Federally Qualified Health Center (FQHC))
5620 S REGAL ST STE 11
SPOKANE, WA 99223
Spokane County (509) 444-8888
SUZANNE MICHELLE MULVEY PHARMD
Pharmacist
5620 S REGAL ST STE 11
SPOKANE, WA 99223
Spokane County (509) 444-8200
CHAS SOUTHGATE PHARMACY
Pharmacy (Community/Retail Pharmacy)
5620 S REGAL ST STE 11
SPOKANE, WA 99223
Spokane County (509) 444-8888
SHON VOLK PHARM.D
Pharmacist
5620 S REGAL ST STE 11
SPOKANE, WA 99223
Spokane County (509) 444-8200

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 Jesus Rendon's NPI number?

The NPI number for Jesus Rendon is 1467970616. It was assigned to this individual provider in the NPPES registry on September 7, 2017.

Where is Jesus Rendon located?

Jesus Rendon practices at 5620 S Regal St Ste 11, Spokane, WA 99223. The listed phone number is (509) 444-8200.

What is Jesus Rendon's specialty?

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

Is Jesus Rendon enrolled in Medicare?

Yes. Jesus Rendon 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.

What insurance does Jesus Rendon accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jesus Rendon 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 Jesus Rendon was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.