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

Michael Jacob Loeffler, PHYSICIANASSISTANT

Individual provider Independent Duty Corpsman · NPI 1891943825

Michael Jacob Loeffler, PHYSICIANASSISTANT is a Physician Assistant in Nine Mile Falls, Washington. Qualified in 2024, 2 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2008
Specialties on file
2

Practice location Address checks out

15022 Maybob Rd
Nine Mile Falls, WA 99026-8639
Phone: (509) 270-2135
Show map & directions

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

Additional practice locations (1)

  • 125 16th Ave E, Seattle, WA 98112-5211 — (206) 326-3000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Independent Duty Corpsman Taxonomy 1710I1002X

Record details

NPI number1891943825
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 3, 2008
Last updated in NPPESMay 29, 2025
Certification dateMay 29, 2025
Mailing address15022 W Maybob Rd, Nine Mile Falls, WA 99026-8639

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare