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Jason Wang

Physician Assistant β€’ Mill Creek, WA

Active NPI 1174400535 Individual Practitioner Male Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

15418 Main St # 200
Mill Creek, WA 980129030

Call 4252258000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

15418 Main St # 200

Mill Creek, WA 980129030

Telephone 4252258000
Organization at the Same NPPES Address or Phone
Optum Care Washington Pllc Facility NPI 1801946579

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Optum Care Washington Pllc; The Polyclinic Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2025

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

1 years (graduated 2025)

CMS Doctors and Clinicians data list 2025 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2025

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Jason Wang has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Jason Wang as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Mill Creek and Washington

6 active clinicians are listed under Physician Assistant with a practice address in Mill Creek, WA (3,718 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-05-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA70046447

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20251029000284

Enrollment State Jurisdiction

WA

PECOS Control ID

8224527452

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

The Polyclinic Pllc

904 7th Ave, Seattle, WA 981041132

Phone: 2063091760

Optum Care Washington Pllc

15418 Main St, Mill Creek, WA 980129030

Phone: 4252590966

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

6 listed
Dr. Mariel Balboa , DO

Family Medicine

NPI 1326676248

Doctor of Osteopathic Medicine (D.O.)

Dr. Brianna Baublitz , DNP, ARNP

Nurse Practitioner - Family

NPI 1073206520

Doctor of Nursing Practice, Advanced Registered Nurse Practitioner

NPI 1699172163

MDMS

Dr. Namrita Sekhon , MD

Internal Medicine

NPI 1255776407

Doctor of Medicine (M.D.)

NPI 1992487250

Advanced Registered Nurse Practitioner, Doctor of Nursing Practice

Dr. Virginia Yip , MD

Family Medicine

NPI 1831285493

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Business Mailing Address May 08, 2026

Registered at 7600 EVERGREEN WAY, EVERETT, WA 982036421 (Tel: 2068605414)

πŸ“
Updated Business Mailing Address December 08, 2025

Registered at PO BOX 5127, EVERETT, WA 982065127

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2025

Physician Assistant (license number reported to NPPES: WA PA70046447)

πŸ“
Updated Practice Location November 27, 2025

Registered at 15418 MAIN ST # 200, MILL CREEK, WA 980129030 (Tel: 4252258000)

πŸ“
Updated Business Mailing Address November 27, 2025

Registered at 15418 MAIN ST # 200, MILL CREEK, WA 980129030

βœ…
NPI Profile Active August 18, 2025

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 18, 2025

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

πŸ“
Business Mailing Address (Initial Record) August 18, 2025

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367

πŸ‘€
Provider Name / Credentials (Initial Record) August 18, 2025

Recorded as JASON WANG

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2025

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 18, 2025

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1174400535
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2025
Last Update: May 08, 2026
Sole Proprietor: No

Other Physician Assistants in Mill Creek

Healthcare providers in Mill Creek

Mailing Address

7600 Evergreen Way

Everett, WA 982036421

Phone: 2068605414

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.