Individual provider Active NPI

Jonathan Kaiser Ploudre, M.D.

  • Family Medicine Physician
  • Mount Vernon, WA
National Provider Identifier
1104827435
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00045195 Issued in WA
Practice address
2116 E Section St
Mount Vernon, WA 98274-9124
Phone
(360) 428-1700
Fax
(360) 848-4350
NPI assigned
Aug 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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 MD00045195 WA Primary

Addresses

Primary practice location

2116 E Section St
Mount Vernon, WA 98274-9124

Mailing address

3610 Meridian St
Bellingham, WA 98225-1732
Phone (360) 318-8800

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
I20050722000345 WA Practitioner - Family Practice 6800823725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
East Tennessee State University Quillen College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Family Care Network, PLLCGroup PAC ID 0446142046, 124 clinicians

Practice addresses (Care Compare)

2116 E Section St
Mount Vernon, WA 98274-9124
Phone (360) 428-1700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00045195WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Network PLLC Family Medicine CurrentSince Dec 9, 2013 Accepting new patients
Family Care Network PLLC Family Medicine CurrentSince Dec 9, 2013 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jul 1, 2012 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Jul 1, 2012 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients
Family Care Network PLLC Family Medicine PastSince Aug 26, 2010 Accepting new patients
Public Hospital Dist No 1 Skagit Past Accepting new patients

Locations

3610 Meridian St
Bellingham, WA 98225

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

819 S 13th St
Mount Vernon, WA 98274
Phone (360) 336-9757

2116 E Section St
Mount Vernon, WA 98274
Phone (360) 424-3952

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

Interoperability endpoints

  • Direct secure messaging: jploudre12577@skagit.direct-ci.com
  • Direct secure messaging: jploudre17547@direct.fcn.net

Organizations & group practices 7

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 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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1104827435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 MERIDIAN ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251732",
            "telephone_number": "360-318-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 E SECTION ST",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982749124",
            "telephone_number": "360-428-1700",
            "fax_number": "360-848-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLOUDRE",
        "first_name": "JONATHAN",
        "middle_name": "KAISER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00045195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, WA

Sources for this page

Verify at the official NPI Registry.