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

Jesse R Shaffer, PA-C

Individual provider Surgical Physician Assistant · NPI 1053647966

Jesse R Shaffer, PA-C is a Physician Assistant in Longview, Washington. Qualified in 2009, 17 years ago. Practices with Peacehealth, a 187-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

1615 Delaware St
Longview, WA 98632-2367
Phone: (360) 501-3500
Fax: (360) 501-3555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA60108805 (WA)

Record details

NPI number1053647966
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2009
Last updated in NPPESOctober 27, 2009
Mailing addressPo Box 3002, Longview, WA 98632-0302

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Peacehealth — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare