Individual provider Active NPI

Jacob McAvoy, DMSC, PA-C

  • Physician Assistant
  • Eugene, OR
National Provider Identifier
1154975001
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA195490 Issued in OR
Practice address
651 W 7TH Ave Ste 655
Eugene, OR 97402-5113
Phone
(458) 320-0320
NPI assigned
Jul 30, 2019
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.PA.70003991 WA
Physician Assistant 363A00000X PA195490 OR Primary

Addresses

Primary practice location

651 W 7TH Ave Ste 655
Eugene, OR 97402-5113

Mailing address

8444 N 90TH St Ste 100
Scottsdale, AZ 85258-4437
Phone (602) 248-8886

Other practice location 1

5130 Evergreen Way
Everett, WA 98203-2875
Phone (425) 683-0800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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

Enrollment IDStateProvider typePAC IDDetails
I20200129001881 OR Practitioner - Physician Assistant 4284069592 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.PA.70003991WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Services Montana-Private, LLC CurrentSince Oct 1, 2025 Accepting new patients
Adapt CurrentSince Dec 7, 2019 Accepting new patients
Adapt CurrentSince Dec 7, 2019 Accepting new patients
Community Medical Services Montana-Private, LLC PastSince May 26, 2024 Accepting new patients

Locations

8444 N 90th St
Ste 100
Scottsdale, AZ 85258
Phone (480) 494-2497

651 W 7th Ave
Ste 655
Eugene, OR 97402
Phone (458) 320-0320

548 SE Jackson St
Roseburg, OR 97470
Phone (541) 492-0241

Interoperability endpoints

  • Direct secure messaging: jmcavoy324579@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1154975001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8444 N 90TH ST STE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584437",
            "telephone_number": "602-248-8886",
            "fax_number": "602-854-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 W 7TH AVE STE 655",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974025113",
            "telephone_number": "458-320-0320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5130 Evergreen Way",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982032875",
            "country_code": "US",
            "telephone_number": "425-683-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCAVOY",
        "first_name": "JACOB",
        "credential": "DMSC, PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-30",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA.PA.70003991",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA195490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

Verify at the official NPI Registry.