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

Mr. Jacob A Wolff, PACMHS

Individual provider Emergency Medicine Physician · NPI 1164513305

Mr. Jacob A Wolff, PACMHS is a Physician Assistant in Spokane, Washington. Qualified in 2006, 20 years ago. Practices with Mountain West Derm - Blackhart PLLC, a 103-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
20
Licensed in
WA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

101 W 8th Ave
Spokane, WA 99205-4805
Phone: (509) 474-3131
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10005066 (WA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence TA10005066 (WA)

Record details

NPI number1164513305
Entity typeIndividual (Type 1)
GenderMale
Credentials PACMHS
Sole proprietorYes
NPI enumeratedSeptember 27, 2006
Last updated in NPPESAugust 26, 2020
Certification dateAugust 26, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Mountain West Derm - Blackhart Pllc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Spokane