Jon Mortensen, PAC
Jon Mortensen, PAC is a Medical Physician Assistant in Lakewood, WA, registered under NPI 1407930456.
Getting there
The practice address on file is 10510 GRAVELLY LAKE DR. COMMUNITY HEALTH CARE - LAKEWOOD CLINIC, Lakewood, WA 98499. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| PA10005073 | WA | Medical Physician Assistant primary |
This provider holds licence PA10005073 issued in WA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Physician Assistant
- PAC ID
- 7618977703
Medicare enrolment is recorded as approved under the provider type Practitioner - Physician Assistant. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Medical covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363AM0700X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1407930456 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Oct 25, 2006 |
| Last updated | Jun 14, 2012 |
| Status | Active |
| Sole proprietor | No |
| Credential | PAC |
| Practice address |
10510 GRAVELLY LAKE DR. COMMUNITY HEALTH CARE - LAKEWOOD CLINIC Lakewood, WA 98499 (253) 589-7030 Fax (253) 589-7033 |
| Mailing address |
1019 PACIFIC AVE STE 300 ATTN HR Tacoma, WA 98402 |
| Other identifiers |
8469256
(WA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 4 | 0 | 7 | 9 | 3 | 0 | 4 | 5 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 0 | 7 | 9 | 3 | 0 | 4 | 1 |
Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.