NPIMap

Individual provider Active NPI

Jaspreet S Khehra, ARNP

  • Family Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1043925563
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61330248 Issued in WA
Practice address
3130 Ellis St
Bellingham, WA 98225-1904
Phone
(360) 734-4404
NPI assigned
Jan 18, 2023
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61330248 WA Primary
Family Nurse Practitioner 363LF0000X RN60467658 WA

Addresses

Primary practice location

3130 Ellis St
Bellingham, WA 98225-1904

Mailing address

7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230209001355 WA Practitioner - Nurse Practitioner 2769854249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Family Care Network, PLLCGroup PAC ID 0446142046, 124 clinicians

Practice addresses (Care Compare)

1303 Pacific Ave
Everett, WA 98201-4234
Phone (425) 339-5476

3130 Squalicum Pkwy
Bellingham, WA 98225-1940
Phone (360) 756-0382

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic CurrentSince Apr 13, 2025 Accepting new patients
The Polyclinic PLLC Current Accepting new patients
Optum Care Washington PLLC CurrentSince Apr 28, 2025 Accepting new patients
Family Care Network PLLC CurrentSince Feb 11, 2026 Accepting new patients
Optum Care Washington PLLC CurrentSince Apr 28, 2025 Accepting new patients
The Polyclinic PLLC CurrentSince Apr 13, 2025 Accepting new patients
Family Care Network PLLC CurrentSince Feb 11, 2026 Accepting new patients
Optum Care Washington PLLC Past Accepting new patients
The Polyclinic PLLC Past Accepting new patients

Locations

3130 Ellis St
Bellingham, WA 98225
Phone (360) 734-4404

3130 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 671-4509

1303 Pacific Ave
Everett, WA 98201
Phone (425) 259-6069

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1610 Grover St
Ste D1
Lynden, WA 98264
Phone (360) 312-3785

1145 Broadway
Seattle, WA 98122

900 Terry Ave
Fl 3
Seattle, WA 98104
Phone (206) 382-1021

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jkhehra89083@direct.tecmc.com

Organizations & group practices 10

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1043925563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7600 EVERGREEN WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982036421",
            "telephone_number": "206-860-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 ELLIS ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251904",
            "telephone_number": "360-734-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHEHRA",
        "first_name": "JASPREET",
        "middle_name": "S",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-18",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61330248",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "RN60467658",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.