Jeffrey Jason Hershey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA1263 Issued in ID

Practice address

6022 N Vista Ridge LN
Spokane, WA 99217-5503

Phone

(208) 660-3496

NPI assigned

Nov 6, 2014

Last updated

Dec 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• Direct secure messaging: jhershey@landmarkhealth-direct.org
• Direct secure messaging: jhershey495560@wm.providencedirect.org

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.

• New Health Programs Association

  dba NEW Health Chewelah Medical

  • Federally Qualified Health Center (FQHC)
  • Chewelah, WA
  • NPI 1679537575
  Medicare reassignment

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1063818789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 KOOTENAI HEALTH WAY",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838146051",
            "telephone_number": "208-625-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 N VISTA RIDGE LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992175503",
            "telephone_number": "208-660-3496"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 E Spokane Falls Blvd Ste 303",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992021612",
            "country_code": "US",
            "telephone_number": "509-960-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSHEY",
        "first_name": "JEFFREY",
        "middle_name": "JASON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-06",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA1263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Kay Herron, PHARMD
• Mary E. Herschberger, LICSW-A
• Alice Hersey, CG
• Eliza Mae Hersh, LICSW
• Hershey-Adams Hearing Aid Centers Inc.
• Deeann Herta
• Eileen Kay Hertel, M.S.
• Jessica Nicole Hertlein
• Inda G Hertz, PA-C
• Christopher W Herzog, DDS

• Physician Assistant in Spokane, WA
• Providers in Spokane, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.