Individual provider Active NPI

Jeffrey C Christensen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Everett, WA
National Provider Identifier
1154396901
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO00000323 Issued in WA
Practice address
1823 37TH St Ste a
Everett, WA 98201-5089
Phone
(425) 339-8888
Fax
(425) 258-6933
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO00000323 WA Primary

Addresses

Primary practice location

1823 37TH St Ste a
Everett, WA 98201-5089

Mailing address

4924 Chinook Dr
Everett, WA 98203-1376
Phone (425) 327-6603

Other practice location 1

13030 121st Way NE Ste 204
Kirkland, WA 98034-3008
Phone (425) 822-7426

Other identifiers 6

IdentifierTypeStateIssuer
000137680OtherWAUNITED HEALTHCARE
69529OtherWAWORKER'S COMPENSATION
R48544OtherWAREGENCE BLUE SHIELD
192445500OtherOWCP
4341580OtherWAAETNA U.S. HEALTHCARE
1086552MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jchristensen@IFaACoW-WA.direct.office.nextgen.com Health Information Exchange (HIE)

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060330000683 WA Practitioner - Podiatry 5991729311 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PNC Podiatry of Washington PLLCGroup PAC ID 3971950312, 13 clinicians

Practice addresses (Care Compare)

13030 121St Way NE
Suite 204
Kirkland, WA 98034-3008
Phone (425) 822-7426

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.06 of 100Reported as group
Quality
65.39
Promoting interoperability
75
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.12 of 100Reported as group
Quality
81.91
Promoting interoperability
100
Improvement activities
40
Cost
40.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PNC Podiatry of Washington PLLC Foot & Ankle Surgery CurrentSince Nov 1, 2023 Accepting new patients
PNC Podiatry of Washington PLLC Foot & Ankle Surgery CurrentSince Nov 1, 2023 Accepting new patients

Locations

1823 37th St
Ste A
Everett, WA 98201
Phone (425) 339-8888

13030 121st Way NE
Ste 204
Kirkland, WA 98034
Phone (425) 820-8699

4300 Talbot Rd S
Ste 315
Renton, WA 98055
Phone (206) 719-8451

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

Interoperability endpoints

  • Direct secure messaging: jchristensen@aafcnp-wa.direct.office.nextgen.com
  • Direct secure messaging: jeffrey.christensen.1@28424.direct.athenahealth.com
  • Direct secure messaging: jchristensen@ifaacow-wa.direct.office.nextgen.com

Organizations & group practices 2

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1154396901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 CHINOOK DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982031376",
            "telephone_number": "425-327-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 37TH ST STE A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982015089",
            "telephone_number": "425-339-8888",
            "fax_number": "425-258-6933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13030 121st Way NE Ste 204",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980343008",
            "country_code": "US",
            "telephone_number": "425-822-7426",
            "fax_number": "425-827-4717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "JEFFREY",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "WA",
            "license": "PO00000323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "000137680",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "69529",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "R48544",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP",
            "identifier": "192445500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA U.S. HEALTHCARE",
            "identifier": "4341580",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1086552",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jchristensen@IFaACoW-WA.direct.office.nextgen.com",
            "affiliation": "N",
            "endpointDescription": "Integrative Foot & Ankle Centers  of Washington",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1823 37th St Ste A",
            "city": "Everett",
            "state": "WA",
            "country_code": "US",
            "postal_code": "982015089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.