Individual provider Active NPI

Jesseca Wang Eskander, FNP-C

  • Family Nurse Practitioner
  • Marysville, WA
National Provider Identifier
1184265316
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61068735 Issued in WA
Practice address
4404 80TH St NE
Marysville, WA 98270-3427
Phone
(360) 659-1231
NPI assigned
Sep 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95010440 CA
Family Nurse Practitioner 363LF0000X AP61068735 WA Primary

Addresses

Primary practice location

4404 80TH St NE
Marysville, WA 98270-3427

Mailing address

4404 80TH St NE
Marysville, WA 98270-3427
Phone (360) 659-1231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1728 W Marine View Dr
Everett, WA 98201-2094

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NP95010440CAMDFamily Nurse Practitioner
AP61068735WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western Washington Medical Group, Inc PS CurrentSince Dec 16, 2020 Accepting new patients
Western Washington Medical Group, Inc PS CurrentSince Dec 16, 2020 Accepting new patients
Western Washington Medical Group, Inc PS Current Accepting new patients

Locations

1728 W Marine View Dr
Ste 110
Everett, WA 98201
Phone (425) 259-4041

4225 Hoyt Ave
Ste A
Everett, WA 98203
Phone (425) 259-3122

4404 80th St NE
Marysville, WA 98270
Phone (360) 659-1231

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1569715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1184265316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4404 80TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703427",
            "telephone_number": "360-659-1231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4404 80TH ST NE",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982703427",
            "telephone_number": "360-659-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESKANDER",
        "first_name": "JESSECA",
        "middle_name": "WANG",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-29",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95010440",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61068735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.