Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Jackson Watson

Individual provider Medical Physician Assistant · NPI 1124696653

Mr. Jackson Watson is a Physician Assistant in Lynnwood, Washington. Graduated from Mercer University School of Medicine in 2021, 5 years ago. Practices with Radia Inc P S, a 274-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Trained at
Mercer University School of Medicine
Licensed in
WA
In the registry since
2021
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Practice location Address checks out

19020 33rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone: (425) 563-1500
Fax: (425) 563-1374
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3102 Colby Ave, Everett, WA 98201-4025 — (425) 258-8110

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA61438621 (WA)

Record details

NPI number1124696653
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 11, 2021
Last updated in NPPESNovember 21, 2023
Certification dateNovember 21, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Radia Inc P S — 274 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients54
Services billed 88 a service is one billed item, such as a visit, a test or a procedure
Average patient age77

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Radia Inc P S

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 274 clinicians in the practice; 12 are shown here.

Other providers in Lynnwood