Jacob John Massarelli, PA-C
NPI 1699458927ActiveIndividual· Physician Assistant· Centralia, WA
Physician Assistant (PA-C) with Lewis County Community Health Services, practicing in Centralia, Washington. Their prescriptions cost Medicare Part D more than their services did: $221,381 for 2,187 claims, against $227.47 paid for services in 2024. Lists Providence Centralia Hospital and 1 other hospital as hospital affiliations.
Overview
| NPI | 1699458927 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Aug 11, 2023 |
| Last updated in NPPES | Oct 19, 2023 |
| Certified by provider | Oct 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | PA61478292 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 18 |
|---|---|
| Services billed | 26 across 4 procedure codes |
| Paid by Medicare | $227.47 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,187 · 3,801 30-day fills |
|---|---|
| Patients | 257 |
| Total drug cost | $221,381 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Lewis County Community Health ServicesToledo, WA · 32 clinicians
Hospital affiliations
- Providence Centralia HospitalCentralia, WA
- Providence St Peter HospitalOlympia, WA
Other facilities
- Assured Home Health and HospiceHome health agency · Centralia, WA
- Providence at Home With Compassus, Puget Sound SouthHome health agency · Lacey, WA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 25 physician assistants in Centralia · All physician assistants in Washington