JACK L STUMP MD
NPI 1881632677
Emergency Medicine in Vancouver, WA

Q: What is Jack Stump's NPI number?

The NPI number for Jack Stump is 1881632677. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Jack Stump's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Stump was last updated on October 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 03, 2006PECOS Enrolled

600 NE 92ND AVE, VANCOUVER, WA 98664(360) 514-2142(360) 514-6820 Get Directions Write a Review

NPPES record last updated: October 9, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jack L Stump Md NPPES

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

JACK L STUMP MD (NPI 1881632677) is an individual emergency medicine provider in Vancouver, Washington, licensed in Washington (MD00037100) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881632677

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameJACK L STUMPCredential: MD

Location Address600 NE 92ND AVEVancouver, WA 98664-3225

Mailing AddressFile 742997, Po Box 60000Los Angeles, CA 90074-2997 · (360) 514-2142 · Fax (360) 514-6820

Phone(360) 514-2142

Fax(360) 514-6820

Sole ProprietorNo

Enumeration DateJune 3, 2006

Last NPPES UpdateOctober 9, 2012

✔ NPI 1881632677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

License✔ Licensed in WA · MD00037100

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

600 NE 92ND AVE, Vancouver, WA 98664

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Other Identifiers 4

Medicare UPINF38687WA

Medicaid278167OR

Medicaid8239576WA

Medicare PING8855559WA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack L Stump Md 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 98664 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.