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JORDAN M DE LISLE
NPI 1881271286
Internal Medicine in Everett, WA

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
1321 COLBY AVE STE B400, EVERETT, WA 98201(425) 297-5234 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Nov 13, 2024, Mar 24, 2021 (2 updates tracked since 2021).

About Jordan M De Lisle NPPES

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

JORDAN M DE LISLE (NPI 1881271286) is an individual internal medicine provider in Everett, Washington, licensed in Washington (OP61570577) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1881271286
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJORDAN M DE LISLE
Location Address1321 COLBY AVE STE B400Everett, WA 98201-1665
Mailing Address1321 Colby Ave Ste B400Everett, WA 98201-1665
Phone(425) 297-5234
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateNovember 13, 20242 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1881271286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in WA · OP61570577
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1321 COLBY AVE STE B400, Everett, WA 98201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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

Jordan M De Lisle 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 ID8224439658
PECOS Enrollment IDI20240731002748
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 98201 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.

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.

SEAN KEKAIANIANI TERADA
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
BROOKE NICHOLE WAKEMAN MD
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
BRITISH FORT MD
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
CALEB YOUNGHO KIM
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
CAMERON RICHARDS DO
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
KEVIN MICHAEL CHANG MD
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
ABISHAK GOVINDARAJAN
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234
ANISA LE ROHILLA DO
Student in an Organized Health Care Education/Training Program
1321 COLBY AVE STE B400
EVERETT, WA 98201
Snohomish County (425) 297-5234

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 Jordan De Lisle's NPI number?

The NPI number for Jordan De Lisle is 1881271286. It was assigned to this individual provider in the NPPES registry on March 24, 2021.

Where is Jordan De Lisle located?

Jordan De Lisle practices at 1321 Colby Ave Ste B400, Everett, WA 98201. The listed phone number is (425) 297-5234.

What is Jordan De Lisle's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jordan De Lisle enrolled in Medicare?

Yes. Jordan De Lisle 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.

What insurance does Jordan De Lisle accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jordan De Lisle 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 Jordan De Lisle was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.