Individual provider Active NPI

Jennifer L Davis, PA-C

  • Physician Assistant
  • Pullman, WA
National Provider Identifier
1982955779
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60688508 Issued in WA
Practice address
915 NE Valley Rd
Pullman, WA 99163-3845
Phone
(509) 332-3548
NPI assigned
Sep 20, 2012
Sex
Female
Sole proprietor
No

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Public Hospital District 1-a of Whitman County 86 clinicians

Practice addresses (Care Compare)

835 SE Bishop Blvd
Pullman, WA 99163-5512
Phone (509) 332-2541

915 NE Valley Rd
Pullman, WA 99163-3845
Phone (509) 332-3548

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Spokane Valley, WA, CCN 507021
  • Pullman Regional Hospital Hospital, Pullman, WA, CCN 501331
  • Gritman Medical Center Hospital, Moscow, ID, CCN 131327

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
I20170303001430 WA Practitioner - Physician Assistant 5799918850 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District #1-a of Whitman County CurrentSince Nov 5, 2023 Accepting new patients
Public Hospital District #1-a of Whitman County CurrentSince Nov 5, 2023 Accepting new patients
Public Hospital District # 1-a Past Accepting new patients

Locations

915 NE Valley Rd
Pullman, WA 99163
Phone (509) 332-3548

840 SE Bishop Blvd
Ste 101
Pullman, WA 99163
Phone (509) 332-6139

825 SE Bishop Blvd
Ste 140
Pullman, WA 99163
Phone (509) 334-4498

825 SE Bishop Blvd
Ste 201
Pullman, WA 99163
Phone (509) 336-7577

835 SE Bishop Blvd
Pullman, WA 99163
Phone (509) 332-2541

825 SE Bishop Blvd
Ste 200
Pullman, WA 99163
Phone (509) 332-2517

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-988 ID
Physician Assistant 363A00000X PA60688508 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

915 NE Valley Rd
Pullman, WA 99163-3845

Mailing address

940 SE Robin PL
Pullman, WA 99163-2426
Phone (509) 332-8743

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2025.

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1982955779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 SE ROBIN PL",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991632426",
            "telephone_number": "509-332-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 NE VALLEY RD",
            "city": "PULLMAN",
            "state": "WA",
            "postal_code": "991633845",
            "telephone_number": "509-332-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-988",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60688508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pullman, WA

Sources for this page

Verify at the official NPI Registry.