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JON CHRISTIAN KOOIKER M.D.
NPI 1568420180
Specialist in Olympia, WA

Active since May 03, 2006PECOS Enrolled
525 LILLY RD NE, OLYMPIA, WA 98506(360) 413-8551(360) 413-8827 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jon Christian Kooiker M.d. NPPES

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

JON CHRISTIAN KOOIKER M.D. (NPI 1568420180) is an individual specialist in Olympia, Washington, licensed in Washington (MD00014128) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568420180
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJON CHRISTIAN KOOIKERCredential: M.D.
Location Address525 LILLY RD NEOlympia, WA 98506-5101
Mailing Address525 Lilly Rd NeOlympia, WA 98506-5101 · (360) 413-8551 · Fax (360) 413-8827
Phone(360) 413-8551
Fax(360) 413-8827
Sole ProprietorNo
Enumeration DateMay 3, 2006
Last NPPES UpdateJune 16, 2021
NPPES CertifiedJune 16, 2021
✔ NPI 1568420180 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in WA · MD00014128
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
525 LILLY RD NE, Olympia, WA 98506
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Other Identifiers 1

Medicaid1470103WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jon Christian Kooiker M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jon Kooiker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Health & Services Washington
Same address
Family Medicine
525 LILLY RD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 646 clinicians in this Medicare group
NPI 1174744304 (360) 793-7230
Providence Health & Services Washington
Same address
Hospice and Palliative Medicine
525 LILLY RD NE
Olympia, WA 98506
  • Reassigned Medicare billing, Washington enrollment
  • 184 clinicians in this Medicare group
NPI 1497110571 (360) 486-6402

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
27 services27 patients

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.

DR. JULIA GRACE LEEP-LAZAR MD
Student in an Organized Health Care Education/Training Program
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
DR. KELVIE A JOHNSON M.D.
Family Medicine (Adolescent Medicine)
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
DR. LOWELL RICHARD DIGHTMAN M.D.
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
JEANNETTE DELRENE DAVIS ARNP
Nurse Practitioner
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
DR. JONATHAN KREGER DO
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7525
RUPINDER MOUNDHI MD
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230
ZOFIA DICE-CHOLODZINSKI PHARMD
Pharmacist
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (808) 754-2734
YUE TENG M.D.
Family Medicine
525 LILLY RD NE
OLYMPIA, WA 98506
Thurston County (360) 493-7230

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 Jon Kooiker's NPI number?

The NPI number for Jon Kooiker is 1568420180. It was assigned to this individual provider in the NPPES registry on May 3, 2006.

Where is Jon Kooiker located?

Jon Kooiker practices at 525 Lilly Rd NE, Olympia, WA 98506. The listed phone number is (360) 413-8551.

What is Jon Kooiker's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Jon Kooiker enrolled in Medicare?

Yes. Jon Kooiker is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jon Kooiker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Kooiker reassigns Medicare benefits to 2 organizations: Providence Health & Services Washington (Olympia, WA) and Providence Health & Services Washington (Olympia, WA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jon Kooiker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jon Kooiker accept?

Health plans from Providence Health Plan list Jon Kooiker 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 Jon Kooiker was last updated on June 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.