Individual provider Active NPI

Jessica E Brandt, ARNP

  • Nurse Practitioner
  • Mill Creek, WA
National Provider Identifier
1063726701
Registry record updated May 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60175324 Issued in WA
Practice address
15418 Main St
Mill Creek, WA 98012-9030
Phone
(425) 225-8004
Fax
(425) 225-8021
NPI assigned
Aug 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN60036722 WA
Nurse Practitioner 363L00000X AP60175324 WA Primary

Addresses

Primary practice location

15418 Main St
Mill Creek, WA 98012-9030

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
60175324OtherWASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101014000861 WA Practitioner - Nurse Practitioner 5092907675 Reassigns benefits to 2 organizations
I20240923001930 OR Practitioner - Nurse Practitioner 5092907675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
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
Oregon Healthcare Resources LLCGroup PAC ID 4486835477, 160 clinicians

Practice addresses (Care Compare)

15418 Main St
Mill Creek, WA 98012-9030
Phone (425) 259-0966

2830 Crescent Ave
Eugene, OR 97408-7397
Phone (541) 686-9000

Hospital & facility affiliations

  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60175324WAMDNurse Practitioner
RN60036722WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Polyclinic PLLC CurrentSince Sep 23, 2022 Accepting new patients
The Polyclinic CurrentSince Sep 23, 2022 Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 26, 2010 Accepting new patients
Oregon Healthcare Resources, LLC CurrentSince Jul 15, 2024 Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 26, 2010 Accepting new patients
The Polyclinic PLLC Current Accepting new patients
The Polyclinic PLLC Past Accepting new patients
Optum Care Washington PLLC Past Accepting new patients

Locations

2830 Crescent Ave
Eugene, OR 97408
Phone (541) 636-9019

2000 N 19th St
Springfield, OR 97477
Phone (541) 284-1694

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

15418 Main St
Ste 200
Mill Creek, WA 98012
Phone (425) 225-8000

15418 Main St
Mill Creek, WA 98012
Phone (425) 225-8000

1448 NW Market St
Seattle, WA 98107
Phone (206) 781-6353

904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487

9709 3rd Ave NE
Fl 2
Seattle, WA 98115
Phone (206) 525-5777

1145 Broadway
Seattle, WA 98122

9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777

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

Interoperability endpoints

  • Direct secure messaging: jbrandt112249@westdirect.optum.com
  • Direct secure messaging: jbrandt7704@direct.tecmc.com

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778198400000",
    "number": "1063726701",
    "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": "15418 MAIN ST",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980129030",
            "telephone_number": "425-225-8004",
            "fax_number": "425-225-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRANDT",
        "first_name": "JESSICA",
        "middle_name": "E",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2026-05-08",
        "certification_date": "2026-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "RN60036722",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60175324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "60175324",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.