MR. JAMES STAUFFER (PA-C) – Physician Assistant, NPI 1205219417

MR. JAMES STAUFFER (PA-C) is a healthcare provider. based in Shelton, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MR. JAMES STAUFFER (PA-C) is 1205219417

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
MR. JAMES STAUFFER (PA-C)
NPI
1205219417
Phone
(360) 426-2653
Address
939 MOUNTAIN VIEW DR
Enumeration Date
7 July 2015
Last Update Date
17 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2015 (11 years ago)
PAC ID
2567779952
Group Practice PAC ID
0345139275
Professional Enrollment ID
I20150917000740
Address ID
WA985841926SH2300XCTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:10State licenses:0Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for MR. JAMES STAUFFER (PA-C)

  • 939 MOUNTAIN VIEW DR

    SHELTON, WA 985844410

    Phone: (360) 426-2653

    Type: Mailing

  • PO BOX 1668

    SHELTON, WA 985845001

    Phone: (360) 427-9549

    Type: Mailing

  • 1701 N 13TH ST

    SHELTON, WA 985842077

    Phone: (360) 426-2653

    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: 2015-09-17

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150917000740IPhysician AssistantWATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98584)

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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: 0345139275View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)CA
Interventional Cardiology, Cardiovascular Disease (Cardiology), Interventional CardiologyAK
-WA
Certified Registered Nurse Anesthetist (Crna)MN
Physician AssistantVA
O B S T E T R I C S/ G Y N E C O L O G YWA
Physician AssistantWA
Nurse PractitionerPA
Physician AssistantWA
Physician AssistantUT

Reviews

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Frequently asked questions

What federal number belongs to MR. JAMES STAUFFER (PA-C)?
The federal identifier for MR. JAMES STAUFFER (PA-C) is NPI 1205219417.
Is MR. JAMES STAUFFER (PA-C) active in the national directory?
MR. JAMES STAUFFER (PA-C)'s public NPI profile is in an active state.
What does MR. JAMES STAUFFER (PA-C) treat or focus on?
Patients typically see MR. JAMES STAUFFER (PA-C) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MR. JAMES STAUFFER (PA-C)?
The snapshot lists Shelton, Washington for MR. JAMES STAUFFER (PA-C); download NPPES for the complete set.
How can I contact MR. JAMES STAUFFER (PA-C)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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