Jesse W Vos, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA19884 Issued in CA

Practice address

1575 S Railroad Ave
Crescent City, CA 95531-6821

Phone

(707) 464-8335

Fax

(707) 464-8339

NPI assigned

Sep 10, 2008

Last updated

Jun 11, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Pacific Dermatology a Medical CorporationGroup PAC ID 4981704723, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sutter Coast Hospital Hospital, Crescent City, CA, CCN 050417
• Mad River Community Hospital Hospital, Arcata, CA, CCN 050028
• Curry General Hospital Hospital, Gold Beach, OR, CCN 381322

Merit-based Incentive Payment System (MIPS)

Final score

90.38 of 100Reported as group

Quality

92.6

Improvement activities

40

Cost

77.79

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Pacific Dermatology a Medical Corporation

  • Dermatology Physician
  • McKinleyville, CA
  • NPI 1548489602
  Medicare reassignment Care Compare group

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

• American Hospital Management Corporation

  dba Mad River Community Hospital

  • General Acute Care Hospital
  • Arcata, CA
  • NPI 1518996040
  Care Compare affiliation
• Sutter Coast Hospital

  • General Acute Care Hospital
  • Crescent City, CA
  • NPI 1457367062
  Care Compare affiliation
• Sutter Coast Hospital

  dba Sutter Coast Community Clinic

  • General Practice Physician
  • Crescent City, CA
  • NPI 1700960267

  Hospital

  Care Compare affiliation
• Curry Health District

  dba Curry Medical Center (formerly Brookings Medical Center)

  • Critical Access Hospital Clinic/Center
  • Brookings, OR
  • NPI 1083656367
  Care Compare affiliation
• Curry Health District

  dba Curry General Hospital

  • Critical Access Hospital
  • Gold Beach, OR
  • NPI 1487696985
  Care Compare affiliation

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

{
    "created_epoch": "1221004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1396994745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 S RAILROAD AVE",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955316821",
            "telephone_number": "707-464-8335",
            "fax_number": "707-464-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 S RAILROAD AVE",
            "city": "CRESCENT CITY",
            "state": "CA",
            "postal_code": "955316821",
            "telephone_number": "707-464-8335",
            "fax_number": "707-464-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOS",
        "first_name": "JESSE",
        "middle_name": "W",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-10",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA LIC NUMBER",
            "identifier": "1083953",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LIC NUMBER",
            "identifier": "PA19884",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Betty Vigil, RN
• Teril Davis Vipond, LCSW
• Viteledoc LLC
• Thomas Von Dohlen
• Amber Vos, FNP
• Susan Waddell, RN
• Floyd Richard Wafler
• Rita Wafler, MFT
• Roger Lee Wakeman, DDS
• Walgreen Co. (Walgreens #11754)

• Medical Physician Assistant in Crescent City, CA
• Providers in Crescent City, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.