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Jeffrey H Holcomb

Physician Assistant β€’ Snohomish, WA

Active NPI 1962833152 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

629 Avenue D Ste 1
Snohomish, WA 982902303

Call 3605681554 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

629 Avenue D Ste 1

Snohomish, WA 982902303

Telephone 3605681554
Fax 3605681722
Organization at the Same NPPES Address or Phone
Sound Pain Alliance Facility NPI 1417825704

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 1 group name: Western Washington Medical Group Inc Ps. 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

Medical School

University Of Nebraska College Of Medicine

Graduation Year

2012

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

14 years (graduated 2012)

CMS Doctors and Clinicians data list 2012 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

2013

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

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

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)

Jeffrey Holcomb 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 Jeffrey Holcomb 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 Snohomish and Washington

7 active clinicians are listed under Physician Assistant with a practice address in Snohomish, 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: 2026-01-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES WA PA61610365

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES None 1108139

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

I20260421001946

Enrollment State Jurisdiction

WA

PECOS Control ID

1658847256

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

Western Washington Medical Group Inc Ps

629 Ave D, Snohomish, WA 982902303

Phone: 3605681554

Clinicians Sharing This Practice Address or Phone

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

7 listed
Kanchana Allan

Nurse Practitioner - Family

NPI 1215676853
NPI 1811901572

Doctor of Medicine (M.D.)

Dr. Maya Koehler , MD

Family Medicine

NPI 1144751256

Doctor of Medicine (M.D.)

Laura Paulsen , ARNP

Nurse Practitioner - Family

NPI 1952325979

Advanced Registered Nurse Practitioner

Dr. Ival Salyer , MD

Family Medicine

NPI 1427079557

Doctor of Medicine (M.D.)

NPI 1336163351

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
πŸ“
Updated Practice Location January 27, 2026

Registered at 629 AVENUE D STE 1, SNOHOMISH, WA 982902303 (Tel: 3605681554)

πŸ“
Updated Business Mailing Address January 27, 2026

Registered at 629 AVENUE D STE 1, SNOHOMISH, WA 982902303 (Tel: 3605681554)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2026

Physician Assistant (license number reported to NPPES: WA PA61610365)

πŸ“
Updated Practice Location January 30, 2023

Registered at 34800 BOB WILSON DR, SAN DIEGO, CA 921341098 (Tel: 6195326666)

βœ…
NPI Profile Active December 12, 2013

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 12, 2013

Registered at BLDG 624305 8TH ST, 62 ABMC,, CAMP PENDLETON, CA 92055 (Tel: 7607250025)

πŸ“
Business Mailing Address (Initial Record) December 12, 2013

Registered at BLDG 624305 8TH ST, 62 ABMC,, CAMP PENDLETON, CA 92055

πŸ‘€
Provider Name / Credentials (Initial Record) December 12, 2013

Recorded as JEFFREY HOLCOMB

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 12, 2013

Physician Assistant (license number reported to NPPES: None 1108139)

🟒
Initial NPI Registration & Enumeration December 12, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1962833152
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 12, 2013
Last Update: January 27, 2026
Sole Proprietor: No

Other Physician Assistants in Snohomish

Healthcare providers in Snohomish

Mailing Address

629 Avenue D Ste 1

Snohomish, WA 982902303

Phone: 3605681554

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.