Keira Jack
NPI 1780170399 · Physician Assistant · Seattle, WA
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keira Jack is a Physician Assistant provider in Seattle, WA (NPI 1780170399).
Provider details
- NPI number
- 1780170399
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- PA61041267 (WA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 777 Bannock StDenver, CO 80204-4507Phone: (303) 436-6000
Registry dates
- Enumerated
- 2018-07-06
- Last updated
- 2020-04-24
- Certified
- 2020-04-24
Frequently asked questions
- What is Keira Jack's NPI number?
- Keira Jack's National Provider Identifier (NPI) is 1780170399, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keira Jack's specialty?
- Keira Jack is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keira Jack located?
- Keira Jack's practice location on file with NPPES is 1701 18th Ave S, Seattle, WA 98144-4317.
- What is Keira Jack's phone number?
- The practice phone number listed in the NPPES registry for Keira Jack is (253) 833-7444.
- Does Keira Jack accept Medicare?
- Keira Jack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keira Jack's NPI active?
- Yes — Keira Jack's NPI (1780170399) is active in the NPPES registry as of the last update on 2020-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.