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MR. JACKSON GREY LIKENS PA-C
NPI 1851075477
Physician Assistant in Seattle, WA

Active since June 14, 2023PECOS EnrolledAccepts Medicare Assignment
3651 ASHWORTH AVE N UNIT B, SEATTLE, WA 98103(407) 927-1656 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2024, Jun 14, 2023 (2 updates tracked since 2023).

About Mr. Jackson Grey Likens Pa-c NPPES

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

MR. JACKSON GREY LIKENS PA-C (NPI 1851075477) is an individual physician assistant in Seattle, Washington, licensed in Washington (PA61450103) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (2019).

NPPES Registry Identity

NPI1851075477
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. JACKSON GREY LIKENSCredential: PA-C
Location Address3651 ASHWORTH AVE N UNIT BSeattle, WA 98103-8116
Mailing Address18012 68th Ave S Ste 101Kent, WA 98032-1022 · (425) 291-3300
Phone(407) 927-1656
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2019
Enumeration DateJune 14, 2023
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
✔ NPI 1851075477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in WA · PA61450103✔ Licensed in FL · 9116959
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.
3651 ASHWORTH AVE N UNIT B, Seattle, WA 98103
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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

Mr. Jackson Grey Likens Pa-c 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 ID2365803160
PECOS Enrollment IDI20230726001659
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
19 services17 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98103 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.

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 Jackson Likens's NPI number?

The NPI number for Jackson Likens is 1851075477. It was assigned to this individual provider in the NPPES registry on June 14, 2023.

Where is Jackson Likens located?

Jackson Likens practices at 3651 Ashworth Ave N Unit B, Seattle, WA 98103. The listed phone number is (407) 927-1656.

What is Jackson Likens's specialty?

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

Is Jackson Likens enrolled in Medicare?

Yes. Jackson Likens is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jackson Likens was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.