JESSICA ANITA KOENIG (M.D.) – Psychiatry Physician, NPI 1083050967
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
710 PSYCHIATRY in WA
Provider Addresses for JESSICA ANITA KOENIG (M.D.)
400 NE Mother Joseph Pl
Vancouver, WA 986643200
Phone: (360) 256-2000
Fax: (360) 514-2458
Type: Location
558 CLAYTON ST
SAN FRANCISCO, CA 941172907
Phone: (512) 324-2036
Type: Mailing
3501 MILLS AVE UT SOUTHWESTERN PSYCHIATRY PROGRAM
SETON SHOAL CREEK HOSPITAL
AUSTIN, TX 78731
Phone: (512) 324-2036
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: 2025-07-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20171115002887 | I | Psychiatry | CA | TBD |
| I20210112001791 | I | Psychiatry | NY | TBD |
| I20250613001677 | I | Psychiatry | WA | TBD |
| I20250711003557 | I | Psychiatry | WI | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98664)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Family Practice | WA | |
| P A T H O L O G Y | MN | |
| - | WA | |
| - | WA | |
| P S Y C H I A T R Y | WA | |
| Physical Medicine And Rehabilitation | WA | |
| - | VA | |
| Family Practice | WA | |
| Physician Assistant | WA |
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