Active NPI
Jessica Lee Levasseur, PA-C
- Surgical Physician Assistant
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 11843
- Practice address
- 1001 Willow Creek Rd Ste 3200
Prescott, AZ 86301-1614 - Phone
- (928) 771-5595
- Fax
- (928) 771-5596
- NPI assigned
- Jan 17, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 11843 | AZ | Primary |
| Surgical Physician Assistant | 363AS0400X | PA61263842 | WA |
Addresses
Primary practice location
1001 Willow Creek Rd Ste 3200
Prescott, AZ 86301-1614
Mailing address
844 Panorama RDG
Mount Vernon, WA 98273-9140
Other practice location 1
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2586
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jlevasseur38378@skagit.direct-ci.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 416-5750
211 S 13TH St
Mount Vernon, WA 98274-4107
Phone (360) 814-5900
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA61263842 | WA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital District No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
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.
-
dba Skagit Regional Clinics
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
dba Skagit Regional Health - Mount Vernon Physical Therapy
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
dba Skagit Regional Health - Arlington Pediatrics
- Pediatrics Physician
- Arlington, WA
- NPI 1043241540
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Skagit Valley Hospital
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783555200000",
"number": "1669123055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "844 PANORAMA RDG",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982739140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 WILLOW CREEK RD STE 3200",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011614",
"telephone_number": "928-771-5595",
"fax_number": "928-771-5596"
}
],
"practiceLocations": [
{
"address_1": "1400 E Kincaid St",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982744127",
"country_code": "US",
"telephone_number": "360-428-2586",
"fax_number": "360-428-6470",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVASSEUR",
"first_name": "JESSICA",
"middle_name": "LEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-17",
"last_updated": "2026-07-09",
"certification_date": "2026-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AZ",
"license": "11843",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "WA",
"license": "PA61263842",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jlevasseur38378@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "Provider Direct address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1400 E Kincaid St",
"city": "Mount Vernon",
"state": "WA",
"country_code": "US",
"postal_code": "982744127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.