MR. JEFFREY A ERNST (PAC, ATC) – Medical Physician Assistant, NPI 1275507188

MR. JEFFREY A ERNST (PAC, ATC) is a healthcare provider. based in Olympia, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC, ATC. They hold a License No. PA60191198 (WA). The NPI Number for MR. JEFFREY A ERNST (PAC, ATC) is 1275507188

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. JEFFREY A ERNST (PAC, ATC)
NPI
1275507188
Phone
(406) 861-3789
Address
5629 COLBY CT SE
Enumeration Date
15 February 2006
Last Update Date
5 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2535336770
Graduation Year
2010 (16 years ago)
PAC ID
2466631452
Group Practice PAC ID
7719899897
Professional Enrollment ID
I20131029000528
Address ID
WA984073148TA5058XSTXX301

Contacts

SOAP Endpoint
https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for MR. JEFFREY A ERNST (PAC, ATC)

  • 5629 COLBY CT SE

    OLYMPIA, WA 985019130

    Phone: (406) 861-3789

    Type: Mailing

  • Kaiser Permanente Olympia Medical Center, 700, Lilly Road Northeast, Olympia, Thurston County, Washington, 98506, United States

    OLYMPIA, WA 985065115

    Phone: (360) 923-7127

    Fax: (360) 923-7199

    Type: Location

  • 700 LILLY RD NE

    OLYMPIA, WA 985065115

    Phone: (360) 923-7000

    Type: Mailing

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: 2013-10-29

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
I20131029000528IPhysician 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
0134AAdm sarscv2 bvl 50mcg/.5ml a4341$0
0124AAdm sarscv2 bvl 30mcg/.3ml a2222$0
View full utilization report →

Insurance plans in this area (ZIP 98501)

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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: 7719899897View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
-IL
O P H T H A L M O L O G YOR
O P H T H A L M O L O G YWA
Nurse PractitionerWA
Family PracticeWA
Interventional Radiology, Diagnostic RadiologyOH
Physician AssistantID
Clinical PsychologistWA

Reviews

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Frequently asked questions

Can I verify MR. JEFFREY A ERNST (PAC, ATC) with an NPI only?
You can start verification with NPI 1275507188 for MR. JEFFREY A ERNST (PAC, ATC), then check state licensing separately.
Is MR. JEFFREY A ERNST (PAC, ATC) listed as active for patients and plans?
The listing shows MR. JEFFREY A ERNST (PAC, ATC) as active in the NPI system.
What is MR. JEFFREY A ERNST (PAC, ATC) best known for clinically?
Directory data describes MR. JEFFREY A ERNST (PAC, ATC) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MR. JEFFREY A ERNST (PAC, ATC) list a practice location?
Patients near Olympia, Washington may find MR. JEFFREY A ERNST (PAC, ATC) in results; validate coverage separately.
How many locations tie to this NPI?
3 practice locations appear in the available data.

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