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Brennon Gary Jones, PA-C

NPI 1407007412ActiveIndividual· Physician Assistant· Bonney Lake, WA

Opted out of Medicare from April 2026 to April 2028. Physician Assistant (PA-C) in Bonney Lake, Washington, licensed in WA and UT, with an NPI issued in October 2008.

Overview

NPI1407007412
StatusActive
Entity typeIndividual
CredentialPA-C
Sole proprietorNo
NPI issuedOct 8, 2008
Last updated in NPPESAug 7, 2025
Certified by providerAug 7, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000XPA.PA.70013431WA
Physician Assistant363A00000X11918893-1206UT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Apr 1, 2026 – Apr 1, 2028
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Physician Assistant providers in Bonney Lake

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