Individual provider Active NPI

Jennifer Marie Lynn, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1295989283
Registry record updated Jun 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
AP60048473 Issued in WA
Practice address
1231 116TH Ave NE
Ste 950
Bellevue, WA 98004-3832
Phone
(425) 454-3366
Fax
(425) 646-5198
NPI assigned
Nov 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X AP60048473 WA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X AP60048473 WA Primary

Addresses

Primary practice location

1231 116TH Ave NE
Ste 950
Bellevue, WA 98004-3832

Mailing address

1231 116TH Ave NE
Ste 950
Bellevue, WA 98004-3832
Phone (425) 454-3366

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161123001728 WA Practitioner - Nurse Practitioner 7810276326 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP60048473WAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Overlake Medical Clinics LLC CurrentSince Jul 24, 2023 Accepting new patients
Overlake Medical Clinics, LLC CurrentSince Jan 10, 2021 Accepting new patients

Locations

1800 116th Ave NE
Ste 201
Bellevue, WA 98004
Phone (425) 454-3366

1231 116th Ave NE
Ste 950
Bellevue, WA 98004
Phone (425) 454-3366

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

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.

NPI Registry JSON

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1295989283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 116TH AVE NE",
            "address_2": "STE 950",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043832",
            "telephone_number": "425-454-3366",
            "fax_number": "425-646-5198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 116TH AVE NE",
            "address_2": "STE 950",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043832",
            "telephone_number": "425-454-3366",
            "fax_number": "425-646-5198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WA",
            "license": "AP60048473",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WA",
            "license": "AP60048473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.