MR. CHADWICK JAY PERRY (PA C) – Physician Assistant, NPI 1093902413
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MR. CHADWICK JAY PERRY (PA C)
969 STEVENS DR STE 3A
RICHLAND, WA 993523558
Phone: (509) 713-1315
Fax: (877) 673-0795
Type: Location
969 STEVENS DR
RICHLAND, WA 993523525
Phone: (509) 713-1315
Fax: (877) 673-0795
Type: Location
8508 W Gage Blvd Ste A101
Kennewick, WA 993368106
Phone: (509) 222-1275
Fax: (509) 491-3031
Type: Location
969 Stevens Dr Ste 1C
Richland, WA 993523557
Phone: (509) 713-1315
Fax: (877) 673-0795
Type: Location
Dunbarton Avenue, Pasco, Franklin County, Washington, United States
PASCO, WA 993018216
Phone: (509) 222-1275
Fax: (509) 491-3031
Type: Mailing
West Gage Boulevard, Kennewick, Benton County, Washington, 99336-1117, United States
KENNEWICK, WA 993368106
Phone: (509) 222-1275
Fax: (509) 491-3031
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: 2007-11-16
PECOS data refreshed: 2026-05-27
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 |
|---|---|---|---|---|
| I20071116000567 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 99352)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | MA | |
| Internal Medicine | VA | |
| Family Practice | GA | |
| Orthopedic Surgery | IL | |
| - | NC | |
| - | TX | |
| Internal Medicine | MA | |
| Family Practice | OR | |
| Nurse Practitioner | WA | |
| Internal Medicine | MA |
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