Individual provider Active NPI

Jonathan Kenneth Stehn, PA-C

  • Physician Assistant
  • Ridgefield, WA
National Provider Identifier
1811976251
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA61168147 Issued in WA
Practice address
8507 S 5TH St
Ridgefield, WA 98642-3421
Phone
(360) 887-9494
Fax
(360) 887-9498
NPI assigned
Jan 13, 2006
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6030 AZ
Physician Assistant 363A00000X PA61168147 WA Primary
Medical Physician Assistant 363AM0700X 6030 AZ
Medical Physician Assistant 363AM0700X PA61168147 WA
Surgical Physician Assistant 363AS0400X 6030 AZ

Addresses

Primary practice location

8507 S 5TH St
Ridgefield, WA 98642-3421

Mailing address

8507 S 5TH St
Ridgefield, WA 98642-3421
Phone (360) 887-9494

Other practice location 1

3105 NE 141st St
Vancouver, WA 98686-2259
Phone (508) 254-7936

Other practice location 2

1331 N Goerig St
Woodland, WA 98674-8453
Phone (360) 887-9494

Other identifiers 1

IdentifierTypeStateIssuer
017418MedicaidAZ

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
I20210820000118 WA Practitioner - Physician Assistant 5395847057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uptown Providers PCGroup PAC ID 4284891243, 43 clinicians
Ridgefield Family Medicine PLLCGroup PAC ID 4981639473, 7 clinicians

Practice addresses (Care Compare)

180 NE 192ND Ave
Suite 505
Vancouver, WA 98684-7525
Phone (503) 305-6262

7500 NE 117TH Ave
Vancouver, WA 98662-4716
Phone (503) 305-6262

8507 S 5TH St
Suite 113
Ridgefield, WA 98642-3422
Phone (360) 887-9494

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.42 of 100Reported as group
Quality
94.47
Promoting interoperability
100
Improvement activities
40
Cost
80.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2227MAMDBehavioral Analyst
6030AZMDChiropractor
PA61168147WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Uptown Providers PC CurrentSince Aug 15, 2025 Accepting new patients
Ridgefield Family Medicine, PLLC Current Accepting new patients
Uptown Providers PC CurrentSince Aug 15, 2025 Accepting new patients
Tucson Orthopaedic Institute Professional Corporation Physician Assistant Past Accepting new patients

Locations

8507 S 5th St
Ste 113
Ridgefield, WA 98642
Phone (360) 887-9494

180 NE 192nd Ave
Ste 505
Vancouver, WA 98684

1331 N Goerig St
Woodland, WA 98674
Phone (360) 887-9494

Organizations & group practices 5

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 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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1811976251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 S 5TH ST",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986423421",
            "telephone_number": "360-887-9494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 S 5TH ST",
            "city": "RIDGEFIELD",
            "state": "WA",
            "postal_code": "986423421",
            "telephone_number": "360-887-9494",
            "fax_number": "360-887-9498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3105 NE 141st St",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986862259",
            "country_code": "US",
            "telephone_number": "508-254-7936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1331 N Goerig St",
            "address_purpose": "LOCATION",
            "city": "Woodland",
            "state": "WA",
            "postal_code": "986748453",
            "country_code": "US",
            "telephone_number": "360-887-9494",
            "fax_number": "360-887-9498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEHN",
        "first_name": "JONATHAN",
        "middle_name": "KENNETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6030",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61168147",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "6030",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA61168147",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "6030",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017418",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, WA

Sources for this page

Verify at the official NPI Registry.