JONATHAN W FISH (MD) – Family Medicine Physician, NPI 1629039599

JONATHAN W FISH (MD) is a healthcare provider. based in Sedro-wooley, Washington. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD00039820 (WA). The NPI Number for JONATHAN W FISH (MD) is 1629039599

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN W FISH (MD)
NPI
1629039599
Phone
(360) 856-4141
Address
1990 HOSPITAL DRIVE
Enumeration Date
30 March 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5309266111
Graduation Year
1998 (28 years ago)
PAC ID
9537216130
Group Practice PAC ID
2668893447
Professional Enrollment ID
I20221120000037
Address ID
CA960672143MO914XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,141 FAMILY PRACTICE in WA

Provider Addresses for JONATHAN W FISH (MD)

  • 1990 HOSPITAL DRIVE

    SUITE 100

    SEDRO-WOOLEY, WA 982849315

    Phone: (360) 856-4141

    Fax: (360) 856-4145

    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)

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: 2022-11-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090420000178IFamily PracticeWATBD
I20221120000037IFamily PracticeCATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes20197$0
99239Hospital discharge day management, more than 30 minutes118110$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes115108$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes7753$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3838$0
View full utilization report →

Insurance plans in this area (ZIP 98284)

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Provider's Procedures

JONATHAN W FISH (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEWA93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report492391

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: 2668893447View full group profile
NameSpecialtyState
Family PracticeOR
Internal Medicine, HospitalistCA
-CA
Family PracticeCA

Reviews

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Frequently asked questions

Does JONATHAN W FISH (MD) have a public NPI I can cite?
Public records show JONATHAN W FISH (MD) under NPI 1629039599.
Is JONATHAN W FISH (MD) currently accepting referrals based on NPI status?
Registry metadata lists JONATHAN W FISH (MD) as active.
What does the directory say JONATHAN W FISH (MD) does?
Insurance directories may phrase it differently, but here JONATHAN W FISH (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit JONATHAN W FISH (MD) in Sedro-Wooley, Washington?
For routing, start with Sedro-Wooley, Washington for JONATHAN W FISH (MD), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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