Active NPI
Paige M Rogers
- Physician Assistant
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA61219579
- Practice address
- 2529 NE 139TH St Ste 110
Vancouver, WA 98686-2719 - Phone
- (206) 616-4001
- NPI assigned
- Aug 25, 2020
- Last updated
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | PA61219579 | WA | Primary |
Addresses
Primary practice location
2529 NE 139TH St Ste 110
Vancouver, WA 98686-2719
Mailing address
PO Box 4825
Portland, OR 97208-4825
Other names 1
- Paige M Jansen
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Washington School of Medicine, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2005 W Main St
Battle Ground, WA 98604-4311
Phone (360) 882-2778
2525 NE 139TH St
Vancouver, WA 98686-2719
Phone (360) 882-2778
2529 NE 139TH St
Vancouver, WA 98686-2719
Phone (360) 882-2778
501 SE 172ND Ave
Vancouver, WA 98684-9542
Phone (360) 882-2778
5515 Pioneer St
Ridgefield, WA 98642-3375
Phone (360) 882-2778
700 NE 87TH Ave
Vancouver, WA 98664-1913
Phone (360) 882-2778
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61219579 | WA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Vancouver Clinic Inc PS | Current | Accepting new patients | |
| Uptown Providers PC | Past | Accepting new patients | |
| The Vancouver Clinic Pharmacy | Past | Accepting new patients |
Locations
4500 SE Columbia Palisades Dr
Camas, WA 98607
2529 NE 139th St
Ste 110
Vancouver, WA 98686
501 SE 172nd Ave
Ste 150
Vancouver, WA 98684
700 NE 87th Ave
Vancouver, WA 98664
Phone (360) 397-1500
700 NE 87th Ave
Ste 110
Vancouver, WA 98664
Phone (360) 397-2534
Interoperability endpoints
- paige.rogers.1@30065.direct.athenahealth.com
- progers22604@tvc-direct.org
Organizations & group practices 3
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 The Vancouver Clinic
- Internal Medicine Physician
- Vancouver, WA
- NPI 1992759427
-
- Pharmacist
- Vancouver, WA
- NPI 1336365857
-
- General Practice Physician
- Portland, OR
- NPI 1144598293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695168000000",
"number": "1093328494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4825",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2529 NE 139TH ST STE 110",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862719",
"telephone_number": "206-616-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "PAIGE",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-25",
"last_updated": "2023-09-20",
"certification_date": "2023-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61219579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PAIGE",
"last_name": "JANSEN",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.