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

Mr. Jeffrey D.t. Carroll, PAC

Individual provider Physician Assistant · NPI 1285169698

Mr. Jeffrey D.t. Carroll, PAC is a Physician Assistant in Mount Vernon, Washington. Qualified in 2017, 9 years ago. Practices with Whidbey Island Public Hospital District, a 99-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
9
Licensed in
WA
In the registry since
2017
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

307 S 13th St Ste 300
Mount Vernon, WA 98274-4100
Phone: (360) 336-9757
Fax: (360) 814-5237
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3823 172nd St Ne, Arlington, WA 98223-7735 — (360) 618-5000

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA60794256 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA60794256 (WA)

Record details

NPI number1285169698
Entity typeIndividual (Type 1)
GenderMale
Credentials PAC
Sole proprietorNo
NPI enumeratedApril 23, 2017
Last updated in NPPESMarch 17, 2018

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 Whidbey Island Public Hospital District — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mount Vernon