Individual provider Active NPI

Jennifer L. Rosquist, M.D.

  • Pediatrics Physician
  • Bellingham, WA
National Provider Identifier
1235176264
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00046745 Issued in WA
Practice address
4545 Cordata Pkwy Ste 1F
Bellingham, WA 98226-7264
Phone
(360) 752-5246
Fax
(360) 752-5679
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 8402 MT
Pediatrics Physician 208000000X MD00046745 WA Primary

Addresses

Primary practice location

4545 Cordata Pkwy Ste 1F
Bellingham, WA 98226-7264

Mailing address

1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1412

Other practice location 1

4545 Cordata Pkwy
Bellingham, WA 98226-7123
Phone (360) 738-2200

Other practice location 2

1117 Spring St
Friday Harbor, WA 98250-9782
Phone (360) 378-2141

Other identifiers 2

IdentifierTypeStateIssuer
0229981OtherWAL&I AND CRIME VICTIMS
8455099MedicaidWA

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
I20070112000368 WA Practitioner - Pediatric Medicine 9537169651 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8402MTMDPediatrics Physician
MD00046745WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Mar 18, 2012 Accepting new patients
Peacehealth Pediatrics CurrentSince Mar 18, 2012 Accepting new patients
Peacehealth Current Accepting new patients
Peacehealth CurrentSince Sep 9, 2021 Accepting new patients
Peacehealth PastSince Dec 12, 2021 Accepting new patients

Locations

2901 Squalicum Pkwy
Bellingham, WA 98225
Phone (360) 734-5400

4545 Cordata Pkwy
Ste 1A
Bellingham, WA 98226
Phone (360) 733-7687

4545 Cordata Pkwy
Ste 1F
Bellingham, WA 98226
Phone (360) 752-5246

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

4545 Cordata Pkwy
Bellingham, WA 98226
Phone (360) 752-5646

1117 Spring St
Friday Harbor, WA 98250
Phone (360) 378-1738

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: jrosquist10180@direct.peacehealth.org

Organizations & group practices 5

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1235176264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SE 164TH AVE DEPT 358",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838004",
            "telephone_number": "360-729-1412",
            "fax_number": "360-729-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 CORDATA PKWY STE 1F",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982267264",
            "telephone_number": "360-752-5246",
            "fax_number": "360-752-5679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4545 Cordata Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982267123",
            "country_code": "US",
            "telephone_number": "360-738-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1117 Spring St",
            "address_purpose": "LOCATION",
            "city": "Friday Harbor",
            "state": "WA",
            "postal_code": "982509782",
            "country_code": "US",
            "telephone_number": "360-378-2141",
            "fax_number": "360-378-1785",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSQUIST",
        "first_name": "JENNIFER",
        "middle_name": "L.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MT",
            "license": "8402",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00046745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I AND CRIME VICTIMS",
            "identifier": "0229981",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8455099",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.