Individual provider Active NPI

Jeannette Stuart Hart, PA-C

  • Physician Assistant
  • Richland, WA
National Provider Identifier
1962753830
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
AP60316098 Issued in WA
Practice address
1305 Fowler St Ste 1D
Richland, WA 99352-4719
Phone
(509) 940-2284
Fax
(509) 940-2286
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X AP60316098 WA Primary

Addresses

Primary practice location

1305 Fowler St Ste 1D
Richland, WA 99352-4719

Mailing address

1305 Fowler St Ste 1D
Richland, WA 99352-4719
Phone (509) 940-2284

Other names 1

  • Jeannette Stuart Carlisle Former 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
I20121022000197 WA Practitioner - Physician Assistant 3173773504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Washington School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PNW Arthritis and Rheumatology PLLCGroup PAC ID 0840781944, 3 clinicians

Practice addresses (Care Compare)

1305 Fowler St
Richland, WA 99352-4719

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60316098WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
PNW Arthritis and Rheumatology PLLC CurrentSince Oct 10, 2025 Accepting new patients

Locations

1305 Fowler St
Ste 1D
Richland, WA 99352
Phone (509) 528-1866

Interoperability endpoints

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

Organizations & group practices 1

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": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1962753830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 FOWLER ST STE 1D",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524719",
            "telephone_number": "509-940-2284",
            "fax_number": "509-940-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 FOWLER ST STE 1D",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524719",
            "telephone_number": "509-940-2284",
            "fax_number": "509-940-2286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "JEANNETTE",
        "middle_name": "STUART",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "AP60316098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNETTE",
            "last_name": "CARLISLE",
            "middle_name": "STUART",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.