JACK HOSTETLER
NPI 1659259638
Physician Assistant in Colfax, WA

Q: What is Jack Hostetler's NPI number?

The NPI number for Jack Hostetler is 1659259638. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Q: What is Jack Hostetler's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Hostetler was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since August 26, 2025PECOS EnrolledAccepts Medicare Assignment

1200 W FAIRVIEW ST, COLFAX, WA 99111(509) 397-3435 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jack Hostetler NPPES

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

JACK HOSTETLER (NPI 1659259638) is an individual physician assistant in Colfax, Washington and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, is affiliated with Whitman Hospital And Medical Center, and is a graduate of University Of Washington School Of Medicine (2025).

NPPES Registry Identity

NPI1659259638

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJACK HOSTETLER

Location Address1200 W FAIRVIEW STColfax, WA 99111-9552

Mailing AddressPo Box 172Oakesdale, WA 99158-0172

Phone(509) 397-3435

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2025

Enumeration DateAugust 26, 2025

NPPES CertifiedAugust 26, 2025

✔ NPI 1659259638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

1200 W FAIRVIEW ST, Colfax, WA 99111

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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

Jack Hostetler 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 ID9234627159

PECOS Enrollment IDI20251022004630

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.

Hospital Affiliations CMS Care Compare

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

Whitman Hospital And Medical Center

Critical Access Hospitals · Colfax, WA

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number501327

Location1200 West FairviewColfax, WA 99111 · Whitman County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99111 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.

PAUL B SULLIVAN CRNA

Nurse Anesthetist, Certified Registered