JENIFER T. GILLIS (PA-C) – Physician Assistant, NPI 1215078050
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,308 PHYSICIAN ASSISTANT in WA
Provider Addresses for JENIFER T. GILLIS (PA-C)
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone:
Type: Mailing
1812 S J ST
TACOMA, WA 984054964
Phone: (253) 752-6965
Type: Location
1145 BROADWAY FL 2
SEATTLE, WA 981224201
Phone: (206) 329-1760
Type: Mailing
Walgreens, 12405, Northeast 85th Street, Rose Hill, Kirkland, King County, Washington, 98033, United States
KIRKLAND, WA 98033
Phone: (888) 227-3312
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-02-19
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180219002286 | I | Physician Assistant | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 128 | 88 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 119 | 92 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 76 | 65 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 74 | 57 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 66 | 62 | $0 |
Insurance plans in this area (ZIP 84125)
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