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

John Nicholas Jurgensen

Individual provider Physician Assistant · NPI 1679035489

John Nicholas Jurgensen is a Physician Assistant in Vancouver, Washington. Qualified in 2020, 6 years ago. Practices with Peacehealth, a 248-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Oregon and Washington.

Years since qualifying
6
Licensed in
OR, WA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

16811 SE McGillivray Blvd
Vancouver, WA 98683-3404
Phone: (360) 735-8100
Fax: (360) 253-1781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 91302 N Coburg Industrial Way Ste 122, Coburg, OR 97408-9330 — (541) 500-6949
  • 3400 Main St, Vancouver, WA 98663-2223 — (360) 696-5232

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61240820 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA200542 (OR)

Record details

NPI number1679035489
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 1, 2019
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Peacehealth — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Vancouver