Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jason Nathaniel Shepherd, PA-C

Individual provider Physician Assistant · NPI 1598112054

Mr. Jason Nathaniel Shepherd, PA-C is a Physician Assistant in Centralia, Washington. Qualified in 2017, 9 years ago. Practices with L G Steck Memorial Clinic P S, a 4-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2016
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

727 N Tower Ave
Centralia, WA 98531-4754
Phone: (360) 557-2027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1818 Harrison Ave, Centralia, WA 98531-1905 — (360) 736-3975
  • 1299 Bishop Rd, Chehalis, WA 98532-8758 — (360) 748-0211

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60807187 (WA)

Record details

NPI number1598112054
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 14, 2016
Last updated in NPPESDecember 9, 2024
Certification dateDecember 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice L G Steck Memorial Clinic P S — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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