JENNIFER MARIE WAHLQUIST (PA-C) – Student in an Organized Health Care Education/Training Program, NPI 1477329001

JENNIFER MARIE WAHLQUIST (PA-C) is a healthcare provider. based in Seattle, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for JENNIFER MARIE WAHLQUIST (PA-C) is 1477329001

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER MARIE WAHLQUIST (PA-C)
NPI
1477329001
Phone
(206) 616-4001
Address
4311 11TH AVE NE STE 200
Enumeration Date
27 November 2023
Last Update Date
27 November 2023

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2082631435
Graduation Year
2023 (3 years ago)
PAC ID
5193160687
Group Practice PAC ID
3779598404
Professional Enrollment ID
I20240321003569
Address ID
ID838641594SA606XXAVEX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:2State licenses:0Digital endpointsOther names

4,285 PHYSICIAN ASSISTANT in WA

Provider Addresses for JENNIFER MARIE WAHLQUIST (PA-C)

  • 4311 11TH AVE NE STE 200

    SEATTLE, WA 981056367

    Phone: (206) 616-4001

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Exact Sciences Corporation ($35).

Total Amount

$66

General + Research + Ownership

Payments

3

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2024-03-21

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
I20240321003569IPhysician AssistantIDTBD

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 98105)

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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: 3779598404View full group profile

Reviews

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Frequently asked questions

Where can patients find JENNIFER MARIE WAHLQUIST (PA-C)'s NPI?
You can confirm JENNIFER MARIE WAHLQUIST (PA-C) with NPI 1477329001; it appears in the national provider directory.
Is JENNIFER MARIE WAHLQUIST (PA-C) active in the national directory?
JENNIFER MARIE WAHLQUIST (PA-C)'s public NPI profile is in an active state.
Can you summarize JENNIFER MARIE WAHLQUIST (PA-C)'s specialty in plain language?
Clinically, the directory lists JENNIFER MARIE WAHLQUIST (PA-C) with Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
Where is JENNIFER MARIE WAHLQUIST (PA-C)'s primary listing?
We display Seattle, Washington because that is what the record indicates for JENNIFER MARIE WAHLQUIST (PA-C).
What if Seattle, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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