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

Jennifer Kay Eickstadt, PA-C

Individual provider Medical Physician Assistant · NPI 1417259060

Jennifer Kay Eickstadt, PA-C is a Physician Assistant in Spokane, Washington. Qualified in 2010, 16 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Idaho and Washington.

Years since qualifying
16
Licensed in
ID, WA
In the registry since
2010
Specialties on file
2
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

6002 N Lidgerwood St
Spokane, WA 99208-1124
Phone: (509) 482-4402
Fax: (509) 482-5071
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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 PA60188676 (WA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence PA-880 (ID)

Record details

NPI number1417259060
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 1, 2010
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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