Individual provider Active NPI

Rose Jones, PA-C

  • Medical Physician Assistant
  • Federal Way, WA
National Provider Identifier
1275935553
Registry record updated Oct 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA60593111 Issued in WA
Practice address
505 S 336TH St Ste 500
Federal Way, WA 98003-8300
Phone
(206) 962-3535
NPI assigned
Sep 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Medical Physician Assistant 363AM0700X PA60593111 WA Primary

Addresses

Primary practice location

505 S 336TH St Ste 500
Federal Way, WA 98003-8300

Mailing address

425 E Norma Lee Ave
Medical Lake, WA 99022-8848
Phone (612) 419-5426

Other practice location 1

4311 11th Ave NE
suite 200
Seattle, WA 98105
Phone (206) 616-4001

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
I20151120001544 WA Practitioner - Physician Assistant 4880994961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grant County Public Hospital District No. 3Group PAC ID 6709775166, 68 clinicians
Grant County Public Hospital District No. 3Group PAC ID 8325937675, shared by 2 NPIs, 19 clinicians
Adams County Public Hospital District 2Group PAC ID 8022906122, shared by 2 NPIs, 14 clinicians

Practice addresses (Care Compare)

200 Nat Washington Way
Ephrata, WA 98823-1982

200 Nat Washington Way
Columbia Basin Hospital
Ephrata, WA 98823-1997
Phone (509) 754-4631

220 Nat Washington Way
Ephrata, WA 98823-1982

903 S Adams St
Ritzville, WA 99169-2227
Phone (509) 659-1200

Hospital & facility affiliations

  • Columbia Basin Hospital Hospital, Ephrata, WA, CCN 501317
  • East Adams Rural Hospital Hospital, Ritzville, WA, CCN 500779
  • East Adams Rural Hospital Hospital, Ritzville, WA, CCN 501311

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA60593111WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adams County Hospital 2 Past Accepting new patients
Adams County Public Hospital District 2 Past Accepting new patients
Adams County Hospital 2 Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rose.jones.p1@direct.ritzville.nextgenshare.com
  • Direct secure messaging: rjones689016@direct.multicare.org
  • Direct secure messaging: rjones@landmarkhealth-direct.org

Organizations & group practices 4

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 2

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": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572307200000",
    "number": "1275935553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E NORMA LEE AVE",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228848",
            "telephone_number": "612-419-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S 336TH ST STE 500",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980038300",
            "telephone_number": "206-962-3535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4311 11th Ave NE",
            "address_2": "suite 200",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "98105",
            "country_code": "US",
            "telephone_number": "206-616-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2019-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA60593111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Federal Way, WA

Sources for this page

Verify at the official NPI Registry.