HELEN ELIZABETH JACK MD
NPI 1730686395
Hospitalist in Connell, WA

Active since April 10, 2018PECOS Enrolled
93.09/100
CMS Quality Rating
1301 N EPHRATA AVE, CONNELL, WA 99326(509) 544-3516 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2021, May 24, 2021, Jun 14, 2018 and 1 more (4 updates tracked since 2018).

About Helen Elizabeth Jack Md NPPES

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

HELEN ELIZABETH JACK MD (NPI 1730686395) is an individual hospitalist provider in Connell, Washington, licensed in Washington (MD61085788) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1730686395
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameHELEN ELIZABETH JACKCredential: MD
Location Address1301 N EPHRATA AVEConnell, WA 99326-9601
Mailing AddressPo Box 50095Seattle, WA 98145-5095 · Fax (206) 744-8516
Sole ProprietorNo
Enumeration DateApril 10, 2018
Last NPPES UpdateJuly 1, 20214 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
NPI 1730686395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in WA · MD61085788
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

1301 N EPHRATA AVE, Connell, WA 99326

Secondary Practice Location 1

Location 1University Of Washington 1959 NE Pacific StSeattle, WA 98195 · Phone (603) 727-6350

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 (PECOS)

Helen Elizabeth Jack Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99326 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
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.

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.

93.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.95
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 12

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

Counselor (Addiction (Substance Use Disorder))
1301 N EPHRATA AVE
CONNELL, WA 99326
Licensed Practical Nurse
1301 N EPHRATA AVE
CONNELL, WA 99326
Dentist
1301 N EPHRATA AVE
CONNELL, WA 99326
Licensed Practical Nurse
1301 N EPHRATA AVE
CONNELL, WA 99326
Dentist (General Practice)
1301 N EPHRATA AVE
CONNELL, WA 99326
Dentist (General Practice)
1301 N EPHRATA AVE
CONNELL, WA 99326
Family Medicine
1301 N EPHRATA AVE
CONNELL, WA 99326
Clinic/Center (Prison Health)
1301 N EPHRATA AVE
CONNELL, WA 99326

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 Helen Jack's NPI number?

The NPI number for Helen Jack is 1730686395. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Where is Helen Jack located?

Helen Jack practices at 1301 N Ephrata Ave, Connell, WA 99326. The listed phone number is (509) 544-3516.

What is Helen Jack's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Helen Jack enrolled in Medicare?

Yes. Helen Jack is registered in the Medicare PECOS enrollment system.

What insurance does Helen Jack accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Helen Jack 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 Helen Jack was last updated on July 1, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.