Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jason Michael Van Gelder, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1861217077

Jason Michael Van Gelder, PMHNP-BC is a Nurse Practitioner in Spokane, Washington. Qualified in 2024, 2 years ago. Practices with Pacwest Healthcare PLLC, a 12-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2024
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

514 E Blackhawk Dr
Spokane, WA 99208-7562
Phone: (509) 863-5593
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP61628632 (WA)

Record details

NPI number1861217077
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedNovember 21, 2024
Last updated in NPPESNovember 21, 2024
Certification dateSeptember 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Pacwest Healthcare Pllc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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