npidexNPI registry + Medicare data

BRENNON JONES, PA-C

Physician Assistant · BONNEY LAKE, WA

Individual Active Opted out of Medicare NPI 1407007412

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Physician Assistant363A00000X✓PA.PA.70013431WA
Physician Assistant363A00000X11918893-1206UT

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Opted out of Medicare (Physician Assistant), effective 2026-04-01 through 2028-04-01.

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.