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

John Janisko, PA-C

Individual provider Physician Assistant · NPI 1669243838

John Janisko, PA-C is a Physician Assistant in Shelton, Washington. Qualified in 2025, 1 year ago. Licensed in Washington.

Years since qualifying
1
Licensed in
WA
In the registry since
2024
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

1701 N 13th St
Shelton, WA 98584-2077
Phone: (360) 427-9549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA70075840 (WA)

Record details

NPI number1669243838
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 15, 2024
Last updated in NPPESApril 14, 2026
Certification dateApril 14, 2026
Mailing address1701 N 13th St, Shelton, WA 98584-2077

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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