KATHRYNN JENSEN – Physician Assistant, NPI 1922617489

KATHRYNN JENSEN is a healthcare provider. based in Seattle, Washington. specializing in PHYSICIAN ASSISTANT. They hold a License No. 61247639 (WA). The NPI Number for KATHRYNN JENSEN is 1922617489

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KATHRYNN JENSEN
NPI
1922617489
Phone
Not provided
Address
4311 11TH AVE NE STE 200
Enumeration Date
29 July 2020
Last Update Date
16 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094568444
Graduation Year
2021 (5 years ago)
PAC ID
1153714100
Group Practice PAC ID
2567540503
Professional Enrollment ID
I20220802003609
Address ID
WA992021332SP510XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for KATHRYNN JENSEN

  • 4311 11TH AVE NE STE 200

    SEATTLE, WA 981056367

    Phone:

    Type: Mailing

  • 510 S COWLEY ST STE 200

    SPOKANE, WA 992021332

    Phone: (816) 510-3140

    Type: Mailing

  • 510 S COWLEY ST

    SPOKANE, WA 992021332

    Phone: (816) 510-3140

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 60 Open Payments records for all available years, with a total value of $1,605.

Total Amount is formed as General ($1,605) + Research ($0) + Ownership ($0) = $1,605.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Lilly USA, LLC ($402).

Total Amount

$1,605

General + Research + Ownership

Payments

60

Total payment records

General Amount

$1,605

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

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: 2022-08-02

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
I20220215001864IPhysician AssistantTNTBD
I20220802003609IPhysician 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
17003Destruction of precancer skin growth, 2-14 growths33769$0
99213Established patient office or other outpatient visit, 20-29 minutes194133$0
17110Destruction of skin growth, 1-14 growths126104$0
17000Destruction of precancer skin growth, 1 growth11594$0
11102Biopsy of related skin growth, first growth9790$0
View full utilization report →

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: 2567540503View full group profile
NameSpecialtyState
Physician AssistantWA
D E R M A T O L O G YWA
D E R M A T O L O G YWA
D E R M A T O L O G YWA
D E R M A T O L O G YWA
Physician AssistantWA
D E R M A T O L O G YWA

Reviews

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Frequently asked questions

What is the standard ID for KATHRYNN JENSEN in the U.S.?
In the U.S., KATHRYNN JENSEN is identified by NPI 1922617489.
Is KATHRYNN JENSEN's NPI status active today?
Active status means KATHRYNN JENSEN's NPI record is not deactivated in the public file.
Which specialty label fits KATHRYNN JENSEN?
NPPES ties KATHRYNN JENSEN to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is KATHRYNN JENSEN tied to Seattle, Washington?
If you are local to Seattle, Washington, KATHRYNN JENSEN may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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