DEVIN SHAWN JENSEN (PA-C) – Medical Physician Assistant, NPI 1528397569
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
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Provider Addresses for DEVIN SHAWN JENSEN (PA-C)
12707, 120th Avenue Northeast, Kirkland, King County, Washington, 98034, United States
#203
KIRKLAND, WA 980347500
Phone: (425) 820-1221
Fax: (425) 821-9362
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 $733.
Total Amount is formed as General ($733) + Research ($0) + Ownership ($0) = $733.
Last reported payment date: 2023-08-21 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($657).
Total Amount
$733
General + Research + Ownership
Payments
3
Total payment records
General Amount
$733
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Pacira Pharmaceuticals Incorporated | $657 |
| Stryker Corporation | $76 |
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: 2021-10-22
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 |
|---|---|---|---|---|
| I20211022002488 | I | Physician Assistant | ID | 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 98034)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WA | 20610 | Aspiration and/or injection of large joint or joint capsule | 16 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| N E U R O S U R G E R Y | WA | |
| Internal Medicine | ID | |
| Qualified Audiologist | ID | |
| Thoracic Surgery, Cardiac Surgery | ID | |
| Family Practice | ID | |
| Physician Assistant | ID | |
| Cardiovascular Disease (Cardiology), Cardiac Electrophysiology | MI | |
| Physician Assistant | ID | |
| - | ID |
Reviews
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