Active NPI
Jason T Elliott, AGACNP
- Acute Care Nurse Practitioner
- Redmond, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 61213
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
8201 164TH Ave NE
Suite 200
Redmond, WA 98052-7615
Phone 4258185311101
Hospital & facility affiliations
- Evergreenhealth Home Care Services
- Assured Home Health
- Providence at Home With Compassus, Snohomish County
- Evergreen Health Hospice Care
- Providence at Home With Compassus, Snohomish County
- Swedish Edmonds Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 88.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathway Geriatrics PLLC | Current | Accepting new patients | |
| Pathway Geriatrics Residential PLLC | Past | 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.
-
- Primary Care Clinic/Center
- Redmond, WA
- NPI 1154924207
-
- Gerontology Nurse Practitioner
- Redmond, WA
- NPI 1326979659
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Everett, WA
- NPI 1184446221
-
- Home Health Agency
- Everett, WA
- NPI 1720800857
-
- Community Based Hospice Care Agency
- Kirkland, WA
- NPI 1285719609
-
- Home Health Agency
- Kirkland, WA
- NPI 1588662761
-
- Home Health Agency
- Mountlake Terrace, WA
- NPI 1770998528
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.