Individual provider Active NPI

Janice L Levesque Bishop, M.D.

  • Family Medicine Physician
  • Bellevue, WA
National Provider Identifier
1174575518
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD00044750 Issued in WA
Practice address
12917 SE 38TH St., Suite 100
Bellevue, WA 98006
Phone
(425) 641-4000
Fax
(206) 320-5840
NPI assigned
May 16, 2006
Last updated
Oct 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD00044750 WA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD00044750 WA

Addresses

Primary practice location

12917 SE 38TH St., Suite 100
Bellevue, WA 98006

Mailing address

12917 SE 38TH St., Suite 100
Bellevue, WA 98006
Phone (425) 641-4000

Other practice location 1

3815 S Othello St Fl 2
Seattle, WA 98118-3510
Phone (206) 788-3500

Other identifiers 1

IdentifierTypeStateIssuer
8435414MedicaidWA

Other names 1

  • Janice Louise Bishop Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jbishop1041154@wm.providencedirect.org Direct
Direct Messaging Address jbishop1041154@wm.providencedirect.org Direct

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
I20051025001021 WA Practitioner - Family PracticePractitioner - Geriatric Medicine 9638196066 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00044750WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care of Washington, P.S. CurrentSince Jan 7, 2022 Accepting new patients
John H. Addison MD PS CurrentSince Aug 1, 2005 Accepting new patients
American Current Care of Washington, P.S. CurrentSince Jan 7, 2022 Accepting new patients

Locations

1925 140th Ave NE
Bellevue, WA 98005
Phone (425) 865-8060

3101 111th St SW
Unit Tu
Everett, WA 98204
Phone (425) 267-0299

9725 SE 36th St
Ste 214
Mercer Island, WA 98040
Phone (206) 275-3588

9222 N Newport Hwy
Ste 1
Spokane, WA 99218
Phone (509) 467-4545

200 Andover Park E
Ste 8
Tukwila, WA 98188
Phone (206) 575-3136

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1174575518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12917 SE 38TH ST., SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98006",
            "telephone_number": "425-641-4000",
            "fax_number": "206-320-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12917 SE 38TH ST., SUITE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "98006",
            "telephone_number": "425-641-4000",
            "fax_number": "206-320-5840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3815 S Othello St Fl 2",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981183510",
            "country_code": "US",
            "telephone_number": "206-788-3500",
            "fax_number": "206-788-3521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "JANICE L",
        "middle_name": "LEVESQUE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD00044750",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "WA",
            "license": "MD00044750",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8435414",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbishop1041154@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "12917 SE 38th St., Suite 100",
            "city": "Bellevue",
            "state": "WA",
            "country_code": "US",
            "postal_code": "98006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbishop1041154@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3815 S Othello St Fl 2",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981183510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "BISHOP",
            "middle_name": "LOUISE",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.