Active NPI
Jason Reil
- Surgical Physician Assistant
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA61536054
- Practice address
- 3015 Squalicum Pkwy Ste 200
Bellingham, WA 98225-1906 - Phone
- (360) 722-2092
- Fax
- (360) 788-6042
- NPI assigned
- Jun 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Surgical Physician Assistant | 363AS0400X | PA61536054 | WA | Primary |
Addresses
Primary practice location
3015 Squalicum Pkwy Ste 200
Bellingham, WA 98225-1906
Mailing address
4311 Heatherridge Dr
Wilmington, NC 28405-6409
Phone (360) 899-2002
Other practice location 1
2716 Ashton Dr
Wilmington, NC 28412-2489
Phone (910) 332-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2901 Sqaulicum Pkwy
Bellingham, WA 98225-1851
Phone (360) 788-9373
3015 Squalicum Pkwy
Bellingham, WA 98225-1906
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.81 of 100
- Quality
- 86.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61536054 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Peacehealth | Orthopaedic Surgery | Current | Accepting new patients |
| Peacehealth | Current | Accepting new patients | |
| Emergeortho PA | Orthopaedic Surgery | Current | Accepting new patients |
| Emergeortho PA | Current | Accepting new patients |
Locations
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
2716 Ashton Dr
Wilmington, NC 28412
Phone (910) 332-1534
3015 Squalicum Pkwy
Ste 200
Bellingham, WA 98225
Phone (360) 733-2092
3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186
Interoperability endpoints
- jreil657892@direct.peacehealth.org
- jreil1054624@direct.novanthealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba PeaceHealth Medical Group
- Internal Medicine Physician
- Bellingham, WA
- NPI 1356309553
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Durham, NC
- NPI 1376592964
-
dba PeaceHealth Medical Group
- Sleep Disorder Diagnostic Clinic/Center
- Bellingham, WA
- NPI 1265692842
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Regional Laboratory
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1013137173
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1013693969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4311 HEATHERRIDGE DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284056409",
"telephone_number": "360-899-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3015 SQUALICUM PKWY STE 200",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251906",
"telephone_number": "360-722-2092",
"fax_number": "360-788-6042"
}
],
"practiceLocations": [
{
"address_1": "2716 Ashton Dr",
"address_purpose": "LOCATION",
"city": "Wilmington",
"state": "NC",
"postal_code": "284122489",
"country_code": "US",
"telephone_number": "910-332-3800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REIL",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-26",
"last_updated": "2024-05-28",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA61536054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.