NPIMap

Individual provider Active NPI

Jessica Zheng, PA-C

  • Physician Assistant
  • Vancouver, WA
National Provider Identifier
1730777335
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61139461 Issued in WA
Practice address
2101 NE 139TH St Ste 380
Vancouver, WA 98686-2309
Phone
(360) 487-1888
NPI assigned
Jan 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X PA61139461 WA Primary

Addresses

Primary practice location

2101 NE 139TH St Ste 380
Vancouver, WA 98686-2309

Mailing address

19020 33Rd Ave W
Ste 210
Lynnwood, WA 98036-4748

Other practice location 1

19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210416002167 WA Practitioner - Physician Assistant 2466860135 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Yale University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians

Practice addresses (Care Compare)

Vancouver, WA 98685
Phone (425) 563-1500

12040 NE 128TH St
Kirkland, WA 98034-3013
Phone (425) 899-1800

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2000

200 NE Mother Joseph PL
Suite 420
Vancouver, WA 98664-3203
Phone (360) 514-6161

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone (425) 563-1500

400 NE Mother Joseph PL
Vancouver, WA 98664-3200
Phone (425) 563-1500

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-3700

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Radia Inc P S CurrentSince May 17, 2021 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 19, 2024 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Jun 19, 2024 Accepting new patients
Radia Imaging Center Holdings LLC CurrentSince May 17, 2021 Accepting new patients

Locations

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

500 17th Ave
Seattle, WA 98122
Phone (206) 320-2111

1229 Madison St
Ste 900
Seattle, WA 98104
Phone (206) 292-6233

4816 NE Thurston Way
Ste A
Vancouver, WA 98662
Phone (360) 254-4914

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

2101 NE 139th St
Ste 380
Vancouver, WA 98686
Phone (360) 487-1888

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718755200000",
    "number": "1730777335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W",
            "address_2": "STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NE 139TH ST STE 380",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862309",
            "telephone_number": "360-487-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19020 33rd Ave W Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980364748",
            "country_code": "US",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZHENG",
        "first_name": "JESSICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-08",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61139461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.