Individual provider Active NPI

Jason Edward Portell, FNP-C

  • Family Nurse Practitioner
  • Spokane Valley, WA
National Provider Identifier
1457896664
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61681076 Issued in WA
Practice address
15605 E Sprague Ave
Spokane Valley, WA 99037-8901
Phone
(509) 598-7820
Fax
(509) 228-6101
NPI assigned
Dec 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61681076 WA Primary

Addresses

Primary practice location

15605 E Sprague Ave
Spokane Valley, WA 99037-8901

Mailing address

15605 E Sprague Ave
Spokane Valley, WA 99037-8901
Phone (509) 598-7820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170314000059 MO Practitioner - Nurse Practitioner 2163707175 Reassigns benefits to 4 organizations
I20250725000772 WA Practitioner - Nurse Practitioner 2163707175 Reassigns benefits to 1 organization

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
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians

Practice addresses (Care Compare)

311 S L St
Tacoma, WA 98405-3720

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

9420 N Newport Hwy
Suite 103
Spokane, WA 99218-1391
Phone (253) 403-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2016044204MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy East Ambulatory Services LLC CurrentSince Aug 21, 2023 Accepting new patients
Physician Groups LC CurrentSince Nov 17, 2021 Accepting new patients
Multicare Health System CurrentSince Jun 27, 2025 Accepting new patients
Multicare Health System CurrentSince Jun 27, 2025 Accepting new patients
Mercy Clinic East Communities CurrentSince Sep 15, 2024 Accepting new patients
Missouri Baptist Hospital of Sullivan CurrentSince Jan 6, 2021 Accepting new patients
Mercy Clinic East Communities CurrentSince Sep 15, 2024 Accepting new patients
Missouri Baptist Hospital of Sullivan Current Accepting new patients
Missouri Baptist Hospital of Sullivan CurrentSince Jan 6, 2021 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

3619 Richardson Square Dr
Ste 170
Arnold, MO 63010
Phone (636) 717-6776

7245 Raider Rd
Ste C
Bonne Terre, MO 63628
Phone (573) 358-4600

301 N Washington St
Ste 5
Farmington, MO 63640
Phone (573) 756-1744

1103 W Liberty St
Farmington, MO 63640
Phone (573) 760-8488

660A S Truman Blvd
Festus, MO 63028
Phone (636) 931-3800

409 Lafayette Ctr
Manchester, MO 63011
Phone (636) 707-0764

2630 Highway K
O Fallon, MO 63368
Phone (636) 240-5454

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

670 Mason Ridge Center Dr
Ste 300
Saint Louis, MO 63141
Phone (314) 953-8250

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054

901 Patients First Dr
Ste 1200
Washington, MO 63090
Phone (636) 390-1777

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

15605 E Sprague Ave
Spokane Valley, WA 99037
Phone (509) 590-9483

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 10

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": "1482451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1457896664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15605 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378901",
            "telephone_number": "509-598-7820",
            "fax_number": "509-228-6101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15605 E SPRAGUE AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990378901",
            "telephone_number": "509-598-7820",
            "fax_number": "509-228-6101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTELL",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-23",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61681076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

Verify at the official NPI Registry.