Trevor Reid Jackman, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA61104032 Issued in WA

Practice address

541 Eureka Way
Sequim, WA 98382-5074

Phone

(360) 582-0808

Fax

(360) 682-2712

NPI assigned

Jul 16, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Olympic Medical PhysiciansGroup PAC ID 9537172358, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072
• St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
• Forks Community Hospital Hospital, Forks, WA, CCN 501325
• Jefferson Healthcare Hospital, Port Townsend, WA, CCN 501323

Merit-based Incentive Payment System (MIPS)

Final score

81.56 of 100Reported as group

Quality

80.73

Promoting interoperability

80

Improvement activities

40

Cost

74.47

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: tjackman1409301@wm.providencedirect.org

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.

• Olympic Medical Physicians

  • Family Medicine Physician
  • Port Angeles, WA
  • NPI 1427081967
  Medicare reassignment Care Compare group
• Franciscan Medical Group

  • Orthopaedic Surgery Physician
  • Silverdale, WA
  • NPI 1093165334
  Medicare reassignment

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

• Clallam County Public Hospital District 2

  • General Acute Care Hospital
  • Port Angeles, WA
  • NPI 1306845557
  Care Compare affiliation
• Clallam County Public Hospital District No 1

  • Critical Access Hospital
  • Forks, WA
  • NPI 1891879680
  Care Compare affiliation
• Commonspirit Washington Community Care

  • General Acute Care Hospital
  • Silverdale, WA
  • NPI 1518912609
  Care Compare affiliation
• Jefferson County Public Hospital District No 2

  • Medicare Defined Swing Bed Hospital Unit
  • Port Townsend, WA
  • NPI 1104950039
  Care Compare affiliation
• Jefferson County Public Hospital District No 2

  • Critical Access Hospital
  • Port Townsend, WA
  • NPI 1356492953
  Care Compare affiliation
• Jefferson County Public Hospital District No 2

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Silverdale, WA
  • NPI 1467664631

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1285286534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 EUREKA WAY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983825074",
            "telephone_number": "360-582-0808",
            "fax_number": "360-682-2712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 EUREKA WAY",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983825074",
            "telephone_number": "360-582-0808",
            "fax_number": "360-682-2712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKMAN",
        "first_name": "TREVOR",
        "middle_name": "REID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-16",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61104032",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61104032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inspire Medical Clinic Inc.
• Intergenerational Healing and Wellness Collective
• Ruth B Iredale, RPH
• Irwin DMD, PLLC
• Ryan Iskenderian, D.C.
• Kimberly Jackson, MT-BC
• Lauren Jackson
• Frank Henry Jahns, MD
• Harry Charles James, PHARMACIST
• Jamestown S'Klallam Tribe

• Medical Physician Assistant in Sequim, WA
• Providers in Sequim, WA by specialty
• Medical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.

Verify at the official NPI Registry.