Individual provider Active NPI

Jordan Scott Clapper, PA-C

  • Medical Physician Assistant
  • Anacortes, WA
National Provider Identifier
1306435995
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA61141021 Issued in WA
Practice address
2511 M Ave Ste B
Anacortes, WA 98221-3897
Phone
(360) 293-3101
NPI assigned
Jan 18, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Surgical Physician Assistant 363AS0400X PA61141021 WA
Medical Physician Assistant 363AM0700X PA61141021 WA Primary

Addresses

Primary practice location

2511 M Ave Ste B
Anacortes, WA 98221-3897

Mailing address

1211 24TH St
Anacortes, WA 98221-2562
Phone (360) 293-3101

Other practice location 1

1211 24th St
Anacortes, WA 98221-2562
Phone (360) 293-3101

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
I20210315001846 WA Practitioner - Physician Assistant 6608282736 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

10541 NE 4TH St
Bellevue, WA 98004-5023
Phone (864) 664-3984

116 Westlake Ave N
Seattle, WA 98109-5214
Phone (864) 664-3984

1570 W Armory Way
Suite 102
Seattle, WA 98119-2720
Phone (864) 664-3984

Hospital & facility affiliations

  • Swedish Issaquah Hospital, Issaquah, WA, CCN 500152
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027
  • Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA61141021WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Proliance Surgeons, Inc., P.S. Surgical CurrentSince Mar 15, 2021 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Oct 1, 2021 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Oct 1, 2021 Accepting new patients
Proliance Surgeons Inc P S Surgical CurrentSince Mar 15, 2021 Accepting new patients
Zoomcare PC Past Accepting new patients
Swedish Health Services Past Accepting new patients

Locations

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

751 NE Blakely Dr
Ste 5010
Issaquah, WA 98029
Phone (425) 394-0700

1500 Continental Pl
Mount Vernon, WA 98273
Phone (360) 424-7041

1401 S Laventure Rd
Mount Vernon, WA 98274
Phone (360) 424-2400

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jordan.clapper.1@30646.direct.athenahealth.com
  • Direct secure messaging: jordan.clapper.p15@direct.proliance.nextgenshare.com

Organizations & group practices 11

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 3

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": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1306435995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 24TH ST",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212562",
            "telephone_number": "360-293-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 M AVE STE B",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982213897",
            "telephone_number": "360-293-3101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 24th St",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982212562",
            "country_code": "US",
            "telephone_number": "360-293-3101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAPPER",
        "first_name": "JORDAN",
        "middle_name": "SCOTT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA61141021",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61141021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.