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KEIRA JACK
NPI 1780170399
Physician Assistant in Seattle, WA

Active since July 06, 2018PECOS Enrolled
1701 18TH AVE S, SEATTLE, WA 98144(253) 833-7444 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 24, 2020, Jul 6, 2018 (2 updates tracked since 2018).

About Keira Jack NPPES

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

KEIRA JACK (NPI 1780170399) is an individual physician assistant in Seattle, Washington, licensed in Washington (PA61041267) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1780170399
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKEIRA JACK
Location Address1701 18TH AVE SSeattle, WA 98144-4317
Mailing Address1701 18th Ave SSeattle, WA 98144-4317 · (616) 206-4359
Phone(253) 833-7444
Sole ProprietorNo
Enumeration DateJuly 6, 2018
Last NPPES UpdateApril 24, 20202 updates tracked since enumeration
NPPES CertifiedApril 24, 2020
✔ NPI 1780170399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WA · PA61041267
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.
1701 18TH AVE S, Seattle, WA 98144
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Secondary Practice Location 1

Location 1777 Bannock StDenver, CO 80204-4507 · Phone (303) 436-6000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keira Jack 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 98144 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
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$78.74 typical visit price
range $21.12 – $155.00
Typical copayment $19.68 (range $5.28 – $38.75)
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.

ANASTASIA GATUHI
Counselor
1701 18TH AVE S
SEATTLE, WA 98144
King County (253) 833-7444
ERIC SEITZ
Nurse Practitioner
1701 18TH AVE S
SEATTLE, WA 98144
King County (253) 833-7444
CATHERINE NJOGU
Counselor
1701 18TH AVE S
SEATTLE, WA 98144
King County (253) 833-7444
CHARLOTTE BROOKS
Case Manager/Care Coordinator
1701 18TH AVE S
SEATTLE, WA 98144
King County (253) 833-7444
ASKALEMARIAM ADEME RN
Registered Nurse
1701 18TH AVE S
SEATTLE, WA 98144
King County (253) 833-7444
LANY MOEUN
Nurse's Aide
1701 18TH AVE S
SEATTLE, WA 98144
King County (253) 833-7444
CAROLINE MBURU
Licensed Practical Nurse
1701 18TH AVE S
SEATTLE, WA 98144
King County (253) 833-7444
ALICIA RONNIE
Technician
1701 18TH AVE S
SEATTLE, WA 98144
King County (253) 833-7444

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 Keira Jack's NPI number?

The NPI number for Keira Jack is 1780170399. It was assigned to this individual provider in the NPPES registry on July 6, 2018.

Where is Keira Jack located?

Keira Jack practices at 1701 18th Ave S, Seattle, WA 98144. The listed phone number is (253) 833-7444.

What is Keira Jack's specialty?

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

Is Keira Jack enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Keira Jack was last updated on April 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.