Individual provider Active NPI

Jason T Elliott, AGACNP

  • Acute Care Nurse Practitioner
  • Redmond, WA
National Provider Identifier
1275199663
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
61213 Issued in ID
Practice address
8201 164TH Ave NE Ste 325
Redmond, WA 98052-7615
Phone
(425) 818-5311
Fax
(425) 434-1755
NPI assigned
May 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 61213 ID Primary

Addresses

Primary practice location

8201 164TH Ave NE Ste 325
Redmond, WA 98052-7615

Mailing address

8201 164TH Ave NE Ste 325
Redmond, WA 98052-7615
Phone (425) 818-5311

Other practice location 1

12094 N Barn Owl Way
Boise, ID 83714-1363
Phone (302) 423-7286

Other practice location 2

190 E Bannock St
Boise, ID 83712-6241
Phone (208) 381-1615

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230314002631 WA Practitioner - Nurse Practitioner 1759616204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathway Geriatrics PLLCGroup PAC ID 0547671125, 7 clinicians

Practice addresses (Care Compare)

8201 164TH Ave NE
Suite 200
Redmond, WA 98052-7615
Phone 4258185311101

Hospital & facility affiliations

  • Evergreenhealth Home Care Services Home health agency, Kirkland, WA, CCN 507079
  • Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
  • Providence at Home With Compassus, Snohomish County Home health agency, Everett, WA, CCN 507065
  • Evergreen Health Hospice Care Hospice, Kirkland, WA, CCN 501523
  • Providence at Home With Compassus, Snohomish County Hospice, Everett, WA, CCN 501514
  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
88.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pathway Geriatrics PLLC CurrentSince Mar 20, 2023 Accepting new patients
Pathway Geriatrics Residential PLLC PastSince May 24, 2026 Accepting new patients

Locations

8201 164th Ave NE
Ste 200
Redmond, WA 98052
Phone (206) 457-3518

8201 164th Ave NE
Ste 325
Redmond, WA 98052
Phone (425) 818-5311

Organizations & group practices 2

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1557619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1275199663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 164TH AVE NE STE 325",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527615",
            "telephone_number": "425-818-5311",
            "fax_number": "425-434-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 164TH AVE NE STE 325",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980527615",
            "telephone_number": "425-818-5311",
            "fax_number": "425-434-1755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12094 N Barn Owl Way",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837141363",
            "country_code": "US",
            "telephone_number": "302-423-7286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "190 E Bannock St",
            "address_purpose": "LOCATION",
            "city": "Boise",
            "state": "ID",
            "postal_code": "837126241",
            "country_code": "US",
            "telephone_number": "208-381-1615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "JASON",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "AGACNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-12",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "ID",
            "license": "61213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

Verify at the official NPI Registry.