Active NPI
Jillene Michele Casey, M.D.
- Family Medicine Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ML60105508
- Practice address
- 1401 Madison St
Suite 100
Seattle, WA 98104-1316 - Phone
- (206) 386-6111
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ML60105508 | WA | Primary |
Addresses
Primary practice location
1401 Madison St
Suite 100
Seattle, WA 98104-1316
Mailing address
1401 Madison St
Suite 100
Seattle, WA 98104-1316
Phone (206) 386-6111
Other practice location 1
21911 76th Ave W Ste 110
Edmonds, WA 98026-7918
Phone (425) 673-3972
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | jcasey1041274@wm.providencedirect.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
21911 76TH Ave W
Suite 110
Edmonds, WA 98026-7918
Phone (425) 640-4950
Hospital & facility affiliations
- Swedish Edmonds Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ML60105508 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedish Health Services | Current | Accepting new patients | |
| Swedish Health Services | Family Medicine | Current | Accepting new patients |
Locations
21911 76th Ave W
Ste 110
Edmonds, WA 98026
Phone (425) 640-4950
13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700
1401 Madison St
Ste 100
Seattle, WA 98104
Phone (206) 386-6111
2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364
800 5th Ave
Ste 600
Seattle, WA 98104
Interoperability endpoints
- jcasey1041274@wm.providencedirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Seattle, WA
- NPI 1831139724
-
- Physical Therapist
- Seattle, WA
- NPI 1619680840
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Edmonds, WA
- NPI 1033107214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602028800000",
"number": "1013140508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 MADISON ST",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041316",
"telephone_number": "206-386-6111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 MADISON ST",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981041316",
"telephone_number": "206-386-6111"
}
],
"practiceLocations": [
{
"address_1": "21911 76th Ave W Ste 110",
"address_purpose": "LOCATION",
"city": "Edmonds",
"state": "WA",
"postal_code": "980267918",
"country_code": "US",
"telephone_number": "425-673-3972",
"fax_number": "425-640-4958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CASEY",
"first_name": "JILLENE",
"middle_name": "MICHELE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2020-10-07",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "ML60105508",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "jcasey1041274@wm.providencedirect.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "21911 76th Ave W Ste 110",
"city": "Edmonds",
"state": "WA",
"country_code": "US",
"postal_code": "980267918",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.