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

Jeanne M Ellern, PAC

Individual provider Medical Physician Assistant · NPI 1689636649

Jeanne M Ellern, PAC is a Physician Assistant in Spokane Valley, Washington. Qualified in 1998, 28 years ago. Practices with Mountain West Derm - Blackhart PLLC, a 103-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
28
Licensed in
WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

1807 N Hutchinson Rd
Spokane Valley, WA 99212-2444
Phone: (509) 456-7414
Fax: (509) 624-0763
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA10003760 (WA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA10003760 (WA)

Record details

NPI number1689636649
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESAugust 14, 2014

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Mountain West Derm - Blackhart Pllc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Spokane Valley