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

Jill Kristine Nelson, PA-C

Individual provider Physician Assistant · NPI 1720603954

Jill Kristine Nelson, PA-C is a Physician Assistant in Everett, Washington. Graduated from Wake Forest University School of Medicine in 2020, 6 years ago. Practices with The Polyclinic PLLC, a 366-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
6
Trained at
Wake Forest University School of Medicine
Licensed in
WA
In the registry since
2020
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

3927 Rucker Ave
Everett, WA 98201-4833
Phone: (425) 339-5422
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61042871 (WA)

Record details

NPI number1720603954
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 12, 2020
Last updated in NPPESJune 18, 2026
Certification dateJune 18, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice The Polyclinic Pllc — 366 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations13 on file with Medicare

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