JESSE LEE NYE (D.O.) – Family Medicine Physician, NPI 1093197782

JESSE LEE NYE (D.O.) is a healthcare provider. based in Vancouver, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials D.O.. They hold a License No. OL60564891 (WA). The NPI Number for JESSE LEE NYE (D.O.) is 1093197782

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
JESSE LEE NYE (D.O.)
NPI
1093197782
Phone
(360) 514-7560
Address
100 E 33RD ST STE 100
Enumeration Date
18 June 2015
Last Update Date
4 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3603782141
Graduation Year
2015 (11 years ago)
PAC ID
2163737966
Group Practice PAC ID
9335391044
Professional Enrollment ID
I20180814003185
Address ID
WA982509782FR1117XSTXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:10State licenses:2Other namesUpdated within 12 months

4,141 FAMILY PRACTICE in WA

Provider Addresses for JESSE LEE NYE (D.O.)

  • 100 E 33RD ST STE 100

    VANCOUVER, WA 986632776

    Phone: (360) 514-7560

    Type: Location

  • 100 E 33rd St Ste 100

    Vancouver, WA 986632776

    Phone: (360) 514-7560

    Type: Location

  • 1117 SPRING ST

    FRIDAY HARBOR, WA 982509782

    Phone: (360) 378-2141

    Fax: (360) 378-1785

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2023-01-31 • Largest payer in this snapshot: Amgen Inc. ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-31

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Amgen Inc.$20
View all Open Payments →|Open Payments Risk Radar →

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: 2018-08-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180814001514IFamily PracticeORTBD
I20180814003185IFamily PracticeWATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2313$0
99239Hospital discharge day management, more than 30 minutes1514$0
View full utilization report →

Insurance plans in this area (ZIP 98663)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335391044View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Where can patients find JESSE LEE NYE (D.O.)'s NPI?
You can confirm JESSE LEE NYE (D.O.) with NPI 1093197782; it appears in the national provider directory.
Is JESSE LEE NYE (D.O.)'s NPI currently valid?
The extract we use shows JESSE LEE NYE (D.O.) as active.
What kind of provider is JESSE LEE NYE (D.O.)?
The page reflects Family Medicine Physician for JESSE LEE NYE (D.O.). Clinical services aligned with this taxonomy classification.
What location shows for JESSE LEE NYE (D.O.)?
We surface Vancouver, Washington for JESSE LEE NYE (D.O.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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