HELEN ELIZABETH JACK MD
NPI 1730686395
Hospitalist in Connell, WA
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
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Helen Elizabeth Jack Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Helen Jack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 4,364 clinicians in this Medicare group
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 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.
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.
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.
CONNELL, WA 99326
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.
Which organization bills Medicare for Helen Jack's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Helen Jack reassigns Medicare benefits to The Association Of University Physicians (Seattle, WA). 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 Helen Jack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Helen Elizabeth Jack, MD · NPI 1730686395
Hospitalist physician in Connell, Washington. Individual provider, active in the CMS NPPES registry since April 10, 2018.
## Identity
- **NPI:** 1730686395 (Entity type: Individual)
- **Enumerated:** April 10, 2018
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** MD61085788 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 1301 N EPHRATA AVE, Connell, WA 99326-9601
- **Phone:** (509) 544-3516
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
- **Bills Medicare through:** The Association Of University Physicians (NPI 1023041159, Seattle, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 1, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1730686395) · Data from the CMS NPPES public registry.