Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jared B Cornelison, PA-C

Individual provider Physician Assistant · NPI 1093068595

Jared B Cornelison, PA-C is a Physician Assistant in Olympia, Washington. Qualified in 2012, 14 years ago. Practices with Olympia Orthopaedic Associates PLLC, a 112-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
14
Licensed in
WA
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3901 Capital Mall Dr SW Ste A
Olympia, WA 98502-1178
Phone: (360) 786-8990
Fax: (360) 786-9010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3901 Capital Mall Dr Sw Ste B, Olympia, WA 98502-8654 — (360) 528-8571

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60360929 (WA)

Record details

NPI number1093068595
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 22, 2012
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026
Mailing addressPo Box 368, Olympia, WA 98507-0368

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Olympia Orthopaedic Associates Pllc — 112 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Olympia