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JASON MICHAEL VAN GELDER PMHNP-BC
NPI 1861217077
Nurse Practitioner - Psychiatric/Mental Health in Spokane, WA

Active since November 21, 2024PECOS EnrolledAccepts Medicare Assignment
514 E BLACKHAWK DR, SPOKANE, WA 99208(509) 863-5593 Get Directions Write a Review

NPPES record last updated: November 21, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jason Michael Van Gelder Pmhnp-bc NPPES

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

JASON MICHAEL VAN GELDER PMHNP-BC (NPI 1861217077) is an individual psychiatric/mental health provider in Spokane, Washington, licensed in Washington (AP61628632) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861217077
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJASON MICHAEL VAN GELDERCredential: PMHNP-BC
Location Address514 E BLACKHAWK DRSpokane, WA 99208-7562
Mailing Address514 E Blackhawk DrSpokane, WA 99208-7562 · (509) 863-5593
Phone(509) 863-5593
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 21, 2024
NPPES CertifiedSeptember 30, 2024
✔ NPI 1861217077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · AP61628632
514 E BLACKHAWK DR, Spokane, WA 99208
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Michael Van Gelder Pmhnp-bc 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 ID2264950245
PECOS Enrollment IDI20250513003485
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.

Medicare Billing Reassignment

Medicare enrollment records show Jason Van Gelder reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacwest Healthcare, PLLC
6.6 mi
Family Medicine
9106 W RUTTER PKWY
Spokane, WA 99208
  • Reassigned Medicare billing, Washington enrollment
  • 20 clinicians in this Medicare group
NPI 1952093742 (509) 385-4339

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 99208 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
$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.

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 Jason Van Gelder's NPI number?

The NPI number for Jason Van Gelder is 1861217077. It was assigned to this individual provider in the NPPES registry on November 21, 2024.

Where is Jason Van Gelder located?

Jason Van Gelder practices at 514 E Blackhawk Dr, Spokane, WA 99208. The listed phone number is (509) 863-5593.

What is Jason Van Gelder's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jason Van Gelder enrolled in Medicare?

Yes. Jason Van Gelder 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.

Which organization bills Medicare for Jason Van Gelder's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Van Gelder reassigns Medicare benefits to Pacwest Healthcare, PLLC (Spokane, 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 Jason Van Gelder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jason Van Gelder was last updated on November 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.