Active NPI
Jessica M S Vittengl, ARNP
- Nurse Practitioner
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP30007851
- Practice address
- 2979 Squalicum Pkwy
Suite 101
Bellingham, WA 98225-1811 - Phone
- (360) 734-2700
- Fax
- (360) 734-8362
- NPI assigned
- Sep 4, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP30007851 | WA | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | AP30007851 | WA |
Addresses
Primary practice location
2979 Squalicum Pkwy
Suite 101
Bellingham, WA 98225-1811
Mailing address
PO Box 5096
Bellingham, WA 98227-5096
Phone (360) 734-2700
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073707980 | Medicaid | WA | |
| 0280023 | Other | WA | L&I AND CRIME VICTIMS |
| AF03 | Other | WA | TRI WEST (TRICARE) |
| 9654005 | Medicaid | WA | |
| 0164VI | Other | WA | REGENCE BLUE SHIELD |
Other names 1
- Jessica M Saucier
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19 Old Rollinsford Rd
BLDG B
Dover, NH 03820-2807
Phone (603) 516-4265
Hospital & facility affiliations
- Wentworth-Douglass Hospital
- Huggins Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007851 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Physician Corporation | Current | Accepting new patients | |
| Wentworth Douglass Hospital | Current | Accepting new patients | |
| Westchester Neurological Consultant PC | Past | Accepting new patients | |
| North Cascade Cardiology PLLC | Nurse Practitioner | Past | Accepting new patients |
Locations
789 Central Ave
Dover, NH 03820
Phone (603) 740-2832
19 Old Rollinsford Rd
Bldg B
Dover, NH 03820
Phone (603) 516-4265
750 Central Ave
Ste Q
Dover, NH 03820
Phone (603) 742-6030
67 Corporate Dr
Fl 2
Portsmouth, NH 03801
Phone (603) 610-8078
67 Corporate Dr
Ste 200
Portsmouth, NH 03801
Phone (603) 431-5529
3 Terrascape Pkwy
Somersworth, NH 03878
Phone (603) 609-6726
Interoperability endpoints
- vittengl.jessica.wdh@direct.partners.masshiway.net
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Magnetic Resonance Imaging Radiologic Technologist
- Dover, NH
- NPI 1447352430
-
- General Acute Care Hospital
- Portsmouth, NH
- NPI 1528687829
-
- Diagnostic Radiology Physician
- Somersworth, NH
- NPI 1295326494
-
- Cardiovascular Disease Physician
- Bellingham, WA
- NPI 1659321586
Nurse Practitioner
-
- Neurology Physician
- Yonkers, NY
- NPI 1114950136
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Wolfeboro, NH
- NPI 1366476079
-
- General Acute Care Hospital
- Dover, NH
- NPI 1033118104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1073707980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5096",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982275096",
"telephone_number": "360-734-2700",
"fax_number": "360-734-8362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2979 SQUALICUM PKWY",
"address_2": "SUITE 101",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251811",
"telephone_number": "360-734-2700",
"fax_number": "360-734-8362"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITTENGL",
"first_name": "JESSICA",
"middle_name": "M S",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-04",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP30007851",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "WA",
"license": "AP30007851",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073707980",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I AND CRIME VICTIMS",
"identifier": "0280023",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRI WEST (TRICARE)",
"identifier": "AF03",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9654005",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "0164VI",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "SAUCIER",
"middle_name": "M",
"credential": "ARNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.