JORDAN M DE LISLE
NPI 1881271286
Internal Medicine in Everett, WA
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
Specialties & Licenses
Accepted Insurance
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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Jordan De Lisle reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Everett, WA 98201
- Reassigned Medicare billing, Washington enrollment
- 705 clinicians in this Medicare group
Lynnwood, WA 98036
- Reassigned Medicare billing, Washington enrollment
- 291 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 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.
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.
EVERETT, WA 98201
EVERETT, WA 98201
EVERETT, WA 98201
EVERETT, WA 98201
EVERETT, WA 98201
EVERETT, WA 98201
EVERETT, WA 98201
EVERETT, WA 98201
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.
Which organizations bill Medicare for Jordan De Lisle's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jordan De Lisle reassigns Medicare benefits to 2 organizations: Providence Health & Services-Washington (Everett, WA) and Pacmed Clinics (Lynnwood, WA). Each 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 Jordan De Lisle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Jordan M De Lisle · NPI 1881271286
Internal Medicine physician in Everett, Washington. Individual provider, active in the CMS NPPES registry since March 24, 2021.
## Identity
- **NPI:** 1881271286 (Entity type: Individual)
- **Enumerated:** March 24, 2021
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** OP61570577 (Washington)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1321 COLBY AVE STE B400, Everett, WA 98201-1665
- **Phone:** (425) 297-5234
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Providence Health & Services-Washington (NPI 1114236791, Everett, WA); Pacmed Clinics (NPI 1477594356, Lynnwood, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1881271286) · Data from the CMS NPPES public registry.