Individual provider Active NPI

Jennifer Lynn Reichel, MD

  • MOHS-Micrographic Surgery Physician
  • Seattle, WA
National Provider Identifier
1043259856
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD00042289 Issued in WA
Practice address
11011 Meridian Ave N
Suite 102
Seattle, WA 98133-8540
Phone
(206) 859-5777
Fax
(206) 859-5776
NPI assigned
Jun 6, 2006
Last updated
Jan 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 00042289 WA
Dermatology Physician 207N00000X 00042289 WA
MOHS-Micrographic Surgery Physician 207ND0101X MD00042289 WA Primary

Addresses

Primary practice location

11011 Meridian Ave N
Suite 102
Seattle, WA 98133-8540

Mailing address

11011 Meridian Ave N
Suite 102
Seattle, WA 98133-8967
Phone (206) 857-5777

Other identifiers 1

IdentifierTypeStateIssuer
P00330265OtherRR MEDICARE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050906000603 WA Practitioner - Dermatology 8426080904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Colorado School of Medicine, Denver, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

11011 Meridian Ave N
Suite 308
Seattle, WA 98133-8967
Phone (206) 859-5777

Merit-based Incentive Payment System (MIPS)

Final score
95.75 of 100Reported as individual
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision126
Removal of skin lesions21
Removal of skin cancer623
Skin biopsy20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00042289WAMDDermatology Physician
MD00042289WAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC Dermatology CurrentSince Apr 1, 2021 Accepting new patients

Locations

1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628

21727 76th Ave W
Ste H
Edmonds, WA 98026
Phone (425) 672-1333

33915 1st Way S
Ste 130
Federal Way, WA 98003
Phone (253) 528-9135

1301 4th Ave NW
Ste 302
Issaquah, WA 98027
Phone (206) 305-9963

1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500

1338 Commerce Ave
Ste 106
Longview, WA 98632
Phone (971) 915-8587

3825 Martin Way E
Ste 104
Olympia, WA 98506
Phone (971) 915-8579

19917 7th Ave NE
Ste 101
Poulsbo, WA 98370
Phone (360) 824-5474

19917 7th Ave NE
Ste 203
Poulsbo, WA 98370
Phone (360) 824-5474

11011 Meridian Ave N
Ste 308
Seattle, WA 98133
Phone (206) 523-9618

2415 NE 134th St
Ste 107
Vancouver, WA 98686
Phone (360) 576-3340

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • Direct secure messaging: jreichel@frontierdermpartners.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1043259856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11011 MERIDIAN AVE N",
            "address_2": "SUITE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338967",
            "telephone_number": "206-857-5777",
            "fax_number": "206-859-5776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11011 MERIDIAN AVE N",
            "address_2": "SUITE 102",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338540",
            "telephone_number": "206-859-5777",
            "fax_number": "206-859-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHEL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "00042289",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "00042289",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD00042289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00330265",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.