NPIMap

Individual provider Active NPI

Janelisa Williams, PA-C

  • Medical Physician Assistant
  • Olympia, WA
National Provider Identifier
1922022847
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA10004721 Issued in WA
Practice address
209 Lilly Rd NE
Olympia, WA 98506
Phone
(360) 413-8250
Fax
(360) 413-8830
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA10004721 WA Primary

Addresses

Primary practice location

209 Lilly Rd NE
Olympia, WA 98506

Mailing address

209 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8250

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
I20041214001002 WA Practitioner - Physician Assistant 4981661683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Puget Sound Gastroenterology PLLCGroup PAC ID 1759278252, 59 clinicians
Gastroenterology Associates Clinical Practice PLLCGroup PAC ID 2062770605, 17 clinicians

Practice addresses (Care Compare)

11800 NE 128TH St
Suite 100
Kirkland, WA 98034-7208
Phone (425) 899-4500

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 977-4620

209 Lilly Rd NE
Olympia, WA 98506-5030
Phone (360) 413-8250

Hospital & facility affiliations

  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Gastroenterology, PLLC Current Accepting new patients
Puget Sound Gastroenterology, PLLC CurrentSince Jan 1, 2023 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Feb 8, 2010 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Feb 8, 2010 Accepting new patients
Lake Washington Anesthesia PLLC Past Accepting new patients
Puget Sound Gastroenterology, PLLC Past Accepting new patients
Cellnetix Pathology, PLLC Past Accepting new patients

Locations

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

17700 SE 272nd St
Ste 420
Kent, WA 98042
Phone (253) 639-9660

11800 NE 128th St
Ste 100
Kirkland, WA 98034
Phone (425) 899-4500

16504 9th Ave SE
Ste 201
Mill Creek, WA 98012
Phone (425) 686-7138

209 Lilly Rd NE
Ste B
Olympia, WA 98506
Phone (360) 413-8250

209 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8250

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

Interoperability endpoints

  • Direct secure messaging: janelisa.williams@gastrohealth.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1922022847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-413-8250",
            "fax_number": "360-413-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98506",
            "telephone_number": "360-413-8250",
            "fax_number": "360-413-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JANELISA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "PA10004721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.