Individual provider Active NPI

Jeannette Dorothy Baars, PA-C

  • Medical Physician Assistant
  • Goldendale, WA
National Provider Identifier
1043972383
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61554260 Issued in WA
Practice address
317 Sanders Way
Goldendale, WA 98620-9059
Phone
(509) 773-4017
Fax
(509) 773-4543
NPI assigned
Oct 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA61554260 WA Primary
Medical Physician Assistant 363AM0700X MED-PAC-LIC-102189 MT

Addresses

Primary practice location

317 Sanders Way
Goldendale, WA 98620-9059

Mailing address

317 Sanders Way
Goldendale, WA 98620-9059
Phone (509) 773-4017

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211227000243 MT Practitioner - Physician Assistant 6800287038
I20240823003080 WA Practitioner - Physician Assistant 6800287038 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MED-PAC-LIC-102189MTMDMedical Physician Assistant
PA61554260WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Klickitat County Public Hospital District No 1 CurrentSince Sep 16, 2024 Accepting new patients
Klickitat County Public Hospital District No 1 Past Accepting new patients
Klickitat County Public Hospital District No 1 Past Accepting new patients

Locations

317 Sanders Way
Goldendale, WA 98620
Phone (509) 773-4017

310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Klickitat County Public Hospital District No 1 46 clinicians

Practice addresses (Care Compare)

310 S Roosevelt St
Goldendale, WA 98620-9201
Phone (509) 486-2151

317 Sanders Way
Goldendale, WA 98620-9059
Phone (509) 773-4017

Hospital & facility affiliations

  • Adventist Health Home Care Home health agency, The Dalles, OR, CCN 387041
  • Klickitat Valley Hospital Hospital, Goldendale, WA, CCN 501316
  • Providence Hood River Memorial Hospital Hospital, Hood River, OR, CCN 381318

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1043972383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 SANDERS WAY",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209059",
            "telephone_number": "509-773-4017",
            "fax_number": "509-773-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 SANDERS WAY",
            "city": "GOLDENDALE",
            "state": "WA",
            "postal_code": "986209059",
            "telephone_number": "509-773-4017",
            "fax_number": "509-773-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAARS",
        "first_name": "JEANNETTE",
        "middle_name": "DOROTHY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61554260",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MT",
            "license": "MED-PAC-LIC-102189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goldendale, WA

Sources for this page

Verify at the official NPI Registry.