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JACKSON SANGUILY PA
NPI 1548009343
Physician Assistant in Puyallup, WA

Active since May 21, 2024PECOS Enrolled
413 29TH ST NE STE I, PUYALLUP, WA 98372(855) 255-1750(855) 255-0905 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Jackson Sanguily Pa NPPES

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

JACKSON SANGUILY PA (NPI 1548009343) is an individual physician assistant in Puyallup, Washington, licensed in Washington (PA.PA.70147889) and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1548009343
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJACKSON SANGUILYCredential: PA
Location Address413 29TH ST NE STE IPuyallup, WA 98372-7154
Mailing AddressPo Box 24081Seattle, WA 98124-0081 · (855) 255-1750 · Fax (855) 255-0905
Phone(855) 255-1750
Fax(855) 255-0905
Sole ProprietorYes
Enumeration DateMay 21, 2024
Last NPPES UpdateJuly 6, 2026
NPPES CertifiedJuly 6, 2026
✔ NPI 1548009343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA.PA.70147889
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.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License Q212354 (CO)
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License PA.PA.70147889 (WA)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA.PA.70147889 (WA)
413 29TH ST NE STE I, Puyallup, WA 98372
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Secondary Practice Location 1

Location 13827 N Lafayette StDenver, CO 80205-5089 · Phone (303) 500-1518

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackson Sanguily Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98372 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 20

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

ADAM GONZALEZ PA-C
Physician Assistant
413 29TH ST NE STE I
PUYALLUP, WA 98372
Pierce County (855) 255-1750
RYAN PENN PA-C
Physician Assistant
413 29TH ST NE STE I
PUYALLUP, WA 98372
Pierce County (855) 255-1750
MARGARET TURKE POTEET MSN
Nurse Practitioner
413 29TH ST NE STE I
PUYALLUP, WA 98372
Pierce County (855) 255-1750
SALVADOR LUNA PA-C
Physician Assistant (Medical)
413 29TH ST NE STE I
PUYALLUP, WA 98372
Pierce County (855) 255-1750
ANDREA JOSEPHINE CACHIA PA-C
Physician Assistant
413 29TH ST NE STE I
PUYALLUP, WA 98372
Pierce County (855) 255-1750
JILL K BARRETT PA-C
Physician Assistant
413 29TH ST NE STE I
PUYALLUP, WA 98372
Pierce County (855) 255-1750
KRISTIN DANIELLE SAUNDERS PA-C
Physician Assistant
413 29TH ST NE STE I
PUYALLUP, WA 98372
Pierce County (855) 255-1750
EDWIN RUIZ PA-C
Physician Assistant
413 29TH ST NE STE I
PUYALLUP, WA 98372
Pierce County (855) 255-1750

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 Jackson Sanguily's NPI number?

The NPI number for Jackson Sanguily is 1548009343. It was assigned to this individual provider in the NPPES registry on May 21, 2024.

Where is Jackson Sanguily located?

Jackson Sanguily practices at 413 29th St NE Ste I, Puyallup, WA 98372. The listed phone number is (855) 255-1750.

What is Jackson Sanguily's specialty?

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

Is Jackson Sanguily enrolled in Medicare?

Yes. Jackson Sanguily is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jackson Sanguily was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.