JEANNE M ELLERN (PAC) – Medical Physician Assistant, NPI 1689636649

JEANNE M ELLERN (PAC) is a healthcare provider. based in Spokane valley, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PAC. They hold a License No. PA10003760 (WA). The NPI Number for JEANNE M ELLERN (PAC) is 1689636649

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
JEANNE M ELLERN (PAC)
NPI
1689636649
Phone
(509) 456-7414
Address
1807 N HUTCHINSON RD
Enumeration Date
5 April 2006
Last Update Date
14 August 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
51293039091255
Graduation Year
1998 (28 years ago)
PAC ID
2163458886
Group Practice PAC ID
1153609813
Professional Enrollment ID
I20050714000195
Address ID
WA992122444SP1807XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

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Provider Addresses for JEANNE M ELLERN (PAC)

  • 1807, North Hutchinson Road, Greenrich Village Apartments, Spokane Valley, Spokane County, Washington, 99212, United States

    SPOKANE VALLEY, WA 992122444

    Phone: (509) 456-7414

    Fax: (509) 624-0763

    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 107 Open Payments records for all available years, with a total value of $2,177.

Total Amount is formed as General ($2,177) + Research ($0) + Ownership ($0) = $2,177.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Janssen Biotech, Inc. ($370).

Total Amount

$2,177

General + Research + Ownership

Payments

107

Total payment records

General Amount

$2,177

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2014-03-26

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
I20050714000195IPhysician AssistantWATBD
I20140326000204IPhysician 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths2,044402$0
99213Established patient office or other outpatient visit, 20-29 minutes943815$0
17000Destruction of precancer skin growth, 1 growth633547$0
11102Biopsy of related skin growth, first growth209189$0
99212Established patient office or other outpatient visit, 10-19 minutes167152$0
View full utilization report →

Insurance plans in this area (ZIP 99212)

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Provider's Procedures

JEANNE M ELLERN (PAC) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTWA13132Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet2928

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: 1153609813View full group profile
NameSpecialtyState
D E R M A T O L O G YOR
Physician AssistantNV
Physician AssistantID
D E R M A T O L O G YNV
-AK
-ID
D E R M A T O L O G YOH
Physician AssistantTX
Physician AssistantOR
Physician AssistantOR

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Frequently asked questions

What federal number belongs to JEANNE M ELLERN (PAC)?
The federal identifier for JEANNE M ELLERN (PAC) is NPI 1689636649.
Is JEANNE M ELLERN (PAC) active in the national directory?
JEANNE M ELLERN (PAC)'s public NPI profile is in an active state.
What field does JEANNE M ELLERN (PAC) work in?
You can think of JEANNE M ELLERN (PAC) as practicing within Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does JEANNE M ELLERN (PAC) practice in Washington?
You will see Spokane Valley, Washington on file for JEANNE M ELLERN (PAC) alongside any extra practice locations.
How can I contact JEANNE M ELLERN (PAC)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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