1. Home
  2. Directory
  3. Washington
  4. Vancouver
  5. Physician Assistant
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JOHN RUSSELL PRENTICE PA-C
NPI 1497736110
Physician Assistant in Vancouver, WA

Active since November 09, 2005PECOS Enrolled
11808 NE FOURTH PLAIN RD, SUITE A, VANCOUVER, WA 98682(360) 253-6947(360) 256-9547 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Russell Prentice Pa-c NPPES

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

JOHN RUSSELL PRENTICE PA-C (NPI 1497736110) is an individual physician assistant in Vancouver, Washington, licensed in West Virginia (PA10002522) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497736110
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJOHN RUSSELL PRENTICECredential: PA-C
Location Address11808 NE FOURTH PLAIN RD, SUITE AVancouver, WA 98682-5524
Mailing Address11808 Ne Fourth Plain Rd, Suite AVancouver, WA 98682-5524 · (360) 253-6947 · Fax (360) 256-9547
Phone(360) 253-6947
Fax(360) 256-9547
Sole ProprietorNo
Enumeration DateNovember 9, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1497736110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WV · PA10002522
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11808 NE FOURTH PLAIN RD, Vancouver, WA 98682
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Russell Prentice Pa-c 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 98682 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
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

JAMES THOMAS STUPFEL PA-C
Physician Assistant
11808 NE FOURTH PLAIN RD, SUITE A
VANCOUVER, WA 98682
Clark County (360) 256-9827

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 John Prentice's NPI number?

The NPI number for John Prentice is 1497736110. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is John Prentice located?

John Prentice practices at 11808 NE Fourth Plain Rd Suite A, Vancouver, WA 98682. The listed phone number is (360) 253-6947.

What is John Prentice's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is John Prentice enrolled in Medicare?

Yes. John Prentice is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Prentice was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.