Individual provider Active NPI

Jason Chang, DNP, ARNP-C

  • Gerontology Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1780190066
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP60772668 Issued in WA
Practice address
1660 S Columbian Way
Seattle, WA 98108-1532
Phone
(425) 764-1010
NPI assigned
Dec 21, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X AP60772668 WA Primary

Addresses

Primary practice location

1660 S Columbian Way
Seattle, WA 98108-1532

Mailing address

4519 165TH Ave SE
Bellevue, WA 98006-8923
Phone (425) 213-7812

Other practice location 1

801 SW 16th St Ste 121
Renton, WA 98057-2628
Phone (206) 538-6300

Other names 1

  • Chieh Shen Chang Other name

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
I20250428002724 WA Practitioner - Nurse Practitioner 0345766812 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Washington School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pain Care Physicians PLLCGroup PAC ID 9537448931, 13 clinicians

Practice addresses (Care Compare)

801 SW 16TH St
Suite 121
Renton, WA 98057-2628
Phone (206) 538-6300

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60772668WAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Pain and Spine Specialists LLC CurrentSince Apr 14, 2025 Accepting new patients
Pain Care Physicians PLLC CurrentSince May 5, 2025 Accepting new patients
Washington Pain and Spine Specialists LLC Past Accepting new patients
Pain Care Physicians PLLC Past Accepting new patients

Locations

4957 Lakemont Blvd SE
Ste C425
Bellevue, WA 98006

3305 Nassau St
Everett, WA 98201
Phone (206) 895-1825

3305 Nassau St
Ste B
Everett, WA 98201

155 Lilly Rd NE
Ste A
Olympia, WA 98506
Phone (206) 895-1825

3525 Ensign Rd NE
Ste J
Olympia, WA 98506
Phone (240) 463-4101

801 SW 16th St
Ste 121
Renton, WA 98057
Phone (206) 805-8885

1229 Madison St
Ste 1190
Seattle, WA 98104
Phone (206) 322-2000

1415 N Houk Rd
Ste C
Spokane Valley, WA 99216
Phone (509) 755-8842

1628 S Mildred St
Ste 102
Tacoma, WA 98465
Phone (206) 895-1825

8506 E Mill Plain Blvd
Ste B
Vancouver, WA 98664
Phone (206) 895-1825

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IJBDDD

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.

NPI Registry JSON

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

{
    "created_epoch": "1513814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1780190066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 165TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980068923",
            "telephone_number": "425-213-7812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S COLUMBIAN WAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981081532",
            "telephone_number": "425-764-1010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 SW 16th St Ste 121",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980572628",
            "country_code": "US",
            "telephone_number": "206-538-6300",
            "fax_number": "206-538-6301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANG",
        "first_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-21",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60772668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHIEH SHEN",
            "last_name": "CHANG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.