Individual provider Active NPI

Brenna Lynn Jensen, PA-C

  • Physician Assistant
  • Seattle, WA
National Provider Identifier
1285938985
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2001 E Madison St
Seattle, WA 98122-2959
Phone
(800) 769-0045
NPI assigned
Jan 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA-1245 ID
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2001 E Madison St
Seattle, WA 98122-2959

Mailing address

2001 E Madison St
Seattle, WA 98122-2959
Phone (800) 769-0045

Other practice location 1

1867 Airport Way Ste 160B
Fairbanks, AK 99701-4062
Phone (800) 769-0045

Other practice location 2

2112 E Franklin Rd
Meridian, ID 83642-9024
Phone (800) 769-0045

Other practice location 3

200 2nd Ave N
Twin Falls, ID 83301-6172
Phone (800) 769-0045

Other practice location 4

4001 Lake Otis Pkwy Ste 101
Anchorage, AK 99508-5200
Phone (800) 769-0045

Other practice location 5

14730 NE 8th St
Bellevue, WA 98007-4116
Phone (800) 769-0045

Other practice location 6

3231 Glacier Hwy
Juneau, AK 99801-7842
Phone (800) 769-0045

Other practice location 7

19505 76th Ave W
Lynnwood, WA 98036-5011
Phone (800) 769-0045

Other practice location 8

1509 32nd St
Everett, WA 98201-4302
Phone (800) 769-0045

Other practice location 9

1200 N Northgate Way
Seattle, WA 98133-8916
Phone (800) 769-0045

Other practice location 10

5020 Roosevelt Way NE
Seattle, WA 98105-3644
Phone (800) 769-0045

Other practice location 11

10210 State Ave
Marysville, WA 98271-7214
Phone (800) 769-0045

Other names 1

  • Brenna Lynn Jensen-Stone Former name

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA-1245IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky Physician Assistant Past Accepting new patients
Planned Parenthood of Idaho PastSince Sep 1, 2019 Accepting new patients
Planned Parenthood Great Northwest, Hawai'I, Alaska, Indiana, Kentucky Physician Assistant Past Accepting new patients

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": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1285938985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222959",
            "telephone_number": "800-769-0045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 E MADISON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981222959",
            "telephone_number": "800-769-0045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1867 Airport Way Ste 160B",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014062",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2112 E Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836429024",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 2nd Ave N",
            "address_purpose": "LOCATION",
            "city": "Twin Falls",
            "state": "ID",
            "postal_code": "833016172",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4001 Lake Otis Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995085200",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14730 NE 8th St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980074116",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3231 Glacier Hwy",
            "address_purpose": "LOCATION",
            "city": "Juneau",
            "state": "AK",
            "postal_code": "998017842",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19505 76th Ave W",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980365011",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1509 32nd St",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014302",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Northgate Way",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981338916",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5020 Roosevelt Way NE",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981053644",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10210 State Ave",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "WA",
            "postal_code": "982717214",
            "country_code": "US",
            "telephone_number": "800-769-0045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "BRENNA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-10",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1245",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENNA",
            "last_name": "JENSEN-STONE",
            "middle_name": "LYNN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.