NATHAN JACOB WIENS (PA-C) – Physician Assistant, NPI 1316188220

NATHAN JACOB WIENS (PA-C) is a healthcare provider. based in Veradale, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA60525567 (WA). The NPI Number for NATHAN JACOB WIENS (PA-C) is 1316188220

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
NATHAN JACOB WIENS (PA-C)
NPI
1316188220
Phone
(509) 363-3100
Address
PO BOX 808
Enumeration Date
23 March 2009
Last Update Date
17 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5093633100304
Graduation Year
2013 (13 years ago)
PAC ID
2264655679
Group Practice PAC ID
1254320922
Professional Enrollment ID
I20150427000450
Address ID
WA992181206SP510XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for NATHAN JACOB WIENS (PA-C)

  • PO BOX 808

    VERADALE, WA 990370808

    Phone: (509) 363-3100

    Fax: (509) 363-0300

    Type: Mailing

  • 510 E HOLLAND AVE

    SPOKANE, WA 992181206

    Phone: (509) 363-3100

    Fax: (509) 363-0300

    Type: Location

  • Garden Park Medical Center, 15200, Community Road, Gulfport, Harrison County, Mississippi, 39503, United States

    GULFPORT, MS 395033085

    Phone: (228) 575-7000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,241.

Total Amount is formed as General ($1,241) + Research ($0) + Ownership ($0) = $1,241.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Collegium Pharmaceutical, Inc. ($263).

Total Amount

$1,241

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,241

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2015-04-27

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
I20150427000450IPhysician 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
99214Established patient office or other outpatient visit, 30-39 minutes866160$0
99213Established patient office or other outpatient visit, 20-29 minutes8761$0
G0444Annual depression screening, 5 to 15 minutes8282$0
99204New patient office or other outpatient visit, 45-59 minutes2626$0
View full utilization report →

Insurance plans in this area (ZIP 99037)

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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: 1254320922View full group profile
NameSpecialtyState
Nurse PractitionerWA
Nurse PractitionerID
N E U R O S U R G E R YWA
Physician AssistantWA
Orthopedic SurgeryWA
-CO
-WA
Nurse PractitionerWA
Anesthesiology, Interventional Pain ManagementWA
Anesthesiology, Pain ManagementTX

Reviews

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Frequently asked questions

Is NATHAN JACOB WIENS (PA-C) listed with a National Provider Identifier?
Yes — NATHAN JACOB WIENS (PA-C) has NPI 1316188220 on file in the registry.
Would NATHAN JACOB WIENS (PA-C) appear as active to a payer?
You can treat NATHAN JACOB WIENS (PA-C) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to NATHAN JACOB WIENS (PA-C)?
NATHAN JACOB WIENS (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Washington is NATHAN JACOB WIENS (PA-C) registered?
Use Veradale, Washington as the headline location for NATHAN JACOB WIENS (PA-C) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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