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

Jessica Ann Sisu

Individual provider Medical Physician Assistant · NPI 1053809277

Jessica Ann Sisu is a Physician Assistant in Monroe, Washington. Qualified in 2018, 8 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Licensed in
WA
In the registry since
2018
Specialties on file
3
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Practice location Address checks out

19200 N Kelsey St
Monroe, WA 98272-1431
Phone: (360) 794-9101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 30809 1st Ave S, Federal Way, WA 98003-4074 — (253) 839-2030

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60899586 (WA)
Medical Physician Assistant Taxonomy 363AM0700X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053809277
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 24, 2018
Last updated in NPPESJuly 22, 2021
Certification dateJuly 22, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Monroe