Individual provider Active NPI

Jennifer Follwell, DO

  • Family Medicine Physician
  • Kennewick, WA
National Provider Identifier
1093785982
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036114848 Issued in IL
Practice address
521 N Young St
Kennewick, WA 99336-7806
Phone
(509) 221-5222
Fax
(509) 221-5271
NPI assigned
Jan 24, 2006
Last updated
Apr 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036114848 IL Primary

Addresses

Primary practice location

521 N Young St
Kennewick, WA 99336-7806

Mailing address

521 N Young St
Kennewick, WA 99336-7806
Phone (509) 221-5222

Other identifiers 3

IdentifierTypeStateIssuer
1093785982MedicaidIL
OP61330157OtherWASTATE LICENSE NUMBER
036114848MedicaidIL

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
I20230201001195 WA Practitioner - Family Practice 1658391552 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-Cities Community HealthGroup PAC ID 4183517469, 25 clinicians

Practice addresses (Care Compare)

829 Goethals Dr
Richland, WA 99352-3529
Phone (509) 547-2204

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Community Health CurrentSince Aug 26, 2024 Accepting new patients
RCCH Trios Health LLC Family Medicine CurrentSince Nov 1, 2022 Accepting new patients
Tri-Cities Community Health Family Medicine Current Accepting new patients
Healthcare Physicians of Southern Illinois, PC Family Medicine Past Accepting new patients
PC Associates LLC Family Medicine Past Accepting new patients
Physician Groups LC Family Medicine Past Accepting new patients
Tri-Cities Community Health Past Accepting new patients
Tri Cities Community Health Past Accepting new patients

Locations

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

216 W 10th Ave
Ste 204
Kennewick, WA 99336
Phone (509) 221-5520

3180 W Clearwater Ave
Ste A
Kennewick, WA 99336

521 N Young St
Kennewick, WA 99336
Phone (509) 221-5222

721 S Auburn St
Kennewick, WA 99336
Phone (509) 586-1157

515 W Court St
Pasco, WA 99301
Phone (509) 545-3020

829 Goethals Dr
Richland, WA 99352
Phone (509) 713-7331

915 Goethals Dr
Richland, WA 99352
Phone (509) 946-3700

Interoperability endpoints

  • Direct secure messaging: jennifer.follwell.1@21034.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712880000000",
    "number": "1093785982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N YOUNG ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367806",
            "telephone_number": "509-221-5222",
            "fax_number": "509-221-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N YOUNG ST",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367806",
            "telephone_number": "509-221-5222",
            "fax_number": "509-221-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOLLWELL",
        "first_name": "JENNIFER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036114848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1093785982",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "OP61330157",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114848",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

Verify at the official NPI Registry.