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DR. JASON DANIEL WISTER M.D.
NPI 1598977209
Pediatrics in Vancouver, WA

Active since May 04, 2007PECOS Enrolled
400 NORTHEAST MOTHER JOSEPH PLACE, VANCOUVER, WA 98664(360) 256-2000 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jason Daniel Wister M.d. NPPES

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

DR. JASON DANIEL WISTER M.D. (NPI 1598977209) is an individual pediatrics provider in Vancouver, Washington, licensed in California (390200000X) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598977209
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. JASON DANIEL WISTERCredential: M.D.
Location Address400 NORTHEAST MOTHER JOSEPH PLACEVancouver, WA 98664
Mailing Address4405 Mccallister PlaceWashougal, WA 98671 · (909) 838-7452
Phone(360) 256-2000
Sole ProprietorYes
Enumeration DateMay 4, 2007
Last NPPES UpdateSeptember 6, 2012
✔ NPI 1598977209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 390200000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License MD60299588 (WA), MD157697 (OR)
400 NORTHEAST MOTHER JOSEPH PLACE, Vancouver, WA 98664
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jason Daniel Wister 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 Reassignment

Medicare enrollment records show Jason Wister reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Commonwealth Healthcare Corporation
5,559 mi
End-Stage Renal Disease (ESRD) Treatment
1 LOWER NAVY HILL ROAD
Saipan, MP 96950
  • Reassigned Medicare billing, Northern Mariana Islands enrollment
  • 200 clinicians in this Medicare group
NPI 1285858290 (670) 234-8950

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98664 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
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Jason Wister's NPI number?

The NPI number for Jason Wister is 1598977209. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Jason Wister located?

Jason Wister practices at 400 Northeast Mother Joseph Place, Vancouver, WA 98664. The listed phone number is (360) 256-2000.

What is Jason Wister's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jason Wister enrolled in Medicare?

Yes. Jason Wister is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jason Wister's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Wister reassigns Medicare benefits to Commonwealth Healthcare Corporation (Saipan, MP). The 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 Jason Wister's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Wister was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.