JOSEPH PROVINCE PA
NPI 1558797365
Physician Assistant - Surgical in Vancouver, WA

Active since September 25, 2013PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
200 NE MOTHER JOSEPH PL STE 210, VANCOUVER, WA 98664(360) 254-6161(360) 449-1146 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Jun 15, 2017 (2 updates tracked since 2017).

About Joseph Province Pa NPPES

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

JOSEPH PROVINCE PA (NPI 1558797365) is an individual surgical provider in Vancouver, Washington, licensed in Washington (PA61208141) and active in the NPI registry since September 2013. He is enrolled in Medicare PECOS, is affiliated with Peacehealth Southwest Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1558797365
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOSEPH PROVINCECredential: PA
Location Address200 NE MOTHER JOSEPH PL STE 210Vancouver, WA 98664-3295
Mailing Address200 Ne Mother Joseph Pl Ste 210Vancouver, WA 98664-3295 · (360) 254-6161 · Fax (360) 449-1146
Fax(360) 449-1146
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 25, 2013
Last NPPES UpdateOctober 28, 20212 updates tracked since enumeration
NPPES CertifiedOctober 28, 2021
NPI 1558797365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Licenses Licensed in WA · PA61208141 Licensed in FL · PA9107470 Licensed in OR · PA182241
200 NE MOTHER JOSEPH PL STE 210, Vancouver, WA 98664

Other Identifiers 1

Medicaid010158600FL

Accepted 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

Joseph Province Pa 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 ID6305073412
PECOS Enrollment IDI20211103002496
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 7

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.
118 services78 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
111 services69 patients
X-ray of ankle, minimum of 3 views 73610
An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.
82 services52 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
72 services72 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
46 services33 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
24 services21 patients

Hospital Affiliations CMS Care Compare

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

Peacehealth Southwest Medical Center

Acute Care Hospitals · Vancouver, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500050
Location400 NE Mother Joseph PlaceVancouver, WA 98668 · Clark County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Physician Assistant
200 NE MOTHER JOSEPH PL STE 210
VANCOUVER, WA 98664
Orthopaedic Surgery
200 NE MOTHER JOSEPH PL STE 210
VANCOUVER, WA 98664

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 Joseph Province's NPI number?

The NPI number for Joseph Province is 1558797365. It was assigned to this individual provider in the NPPES registry on September 25, 2013.

Where is Joseph Province located?

Joseph Province practices at 200 NE Mother Joseph Pl Ste 210, Vancouver, WA 98664. The listed phone number is (360) 254-6161.

What is Joseph Province's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Joseph Province enrolled in Medicare?

Yes. Joseph Province 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 Joseph Province accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Joseph Province 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.

Is Joseph Province affiliated with any hospitals?

According to CMS data, Joseph Province is affiliated with Peacehealth Southwest Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Province was last updated on October 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.