Individual provider Active NPI

Jana Struckel, M.D.

  • Family Medicine Physician
  • Tacoma, WA
National Provider Identifier
1326347782
Registry record updated May 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60484342 Issued in WA
Practice address
209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone
(253) 596-3300
Fax
(253) 596-3301
NPI assigned
Mar 23, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60484342 WA Primary

Addresses

Primary practice location

209 Martin Luther King Jr Way
Tacoma, WA 98405-4265

Mailing address

30809 1St Ave S
Federal Way, WA 98003-4074
Phone (253) 839-2030

Other practice location 1

604 NW Richmond Beach Rd
Shoreline, WA 98177-3122
Phone (206) 533-2900

Other practice location 2

12910 Totem Lake Blvd NE Ste 101
Kirkland, WA 98034-2901
Phone (425) 814-5000

Other practice location 3

30809 1st Ave S
Federal Way, WA 98003-4074
Phone (253) 839-2030

Other identifiers 1

IdentifierTypeStateIssuer
2038557MedicaidWA

Other names 1

  • Jana Struckelova Claus Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jstruckel653462@fhsce.catholichealth.net Direct
SOAP URL https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync Health Information Exchange (HIE)

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
I20140829001758 WA Practitioner - Family Practice 6608094883 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pacmed ClinicsGroup PAC ID 2466350657, 211 clinicians

Practice addresses (Care Compare)

1101 Madison St
Suite 301
Seattle, WA 98104-3599
Phone (206) 505-1300

1801 Lind Ave SW
Renton, WA 98057-3368
Phone (425) 227-3700

209 Martin Luther King Jr Way
Tacoma, WA 98405-4265
Phone (253) 596-3300

220 15TH Ave SE
Puyallup, WA 98372-3797
Phone (253) 435-3400

31833 B Gateway Ctr Blvd S
Federal Way, WA 98003-5616
Phone (253) 214-1920

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60484342WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC Family Medicine CurrentSince Sep 22, 2014 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
King County Public Hospital District No. 2 CurrentSince Jun 1, 2022 Accepting new patients
Pacmed Clinics CurrentSince Jun 26, 2017 Accepting new patients
Optum Care Washington PLLC Family Medicine CurrentSince Sep 22, 2014 Accepting new patients
Kaiser Foundation Health Plan of Washington Family Medicine CurrentSince May 12, 2021 Accepting new patients
King County Public Hospital District No 2 Current Accepting new patients
Pacmed Clinics CurrentSince Jun 26, 2017 Accepting new patients
Pacmed Clinics Current Accepting new patients
King County Public Hospital District No. 2 Family Medicine CurrentSince Jun 1, 2022 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince May 12, 2021 Accepting new patients

Locations

14720 Main St NE
Ste 109
Duvall, WA 98019
Phone (425) 788-4889

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

12910 Totem Lake Blvd NE
Ste 101
Kirkland, WA 98034
Phone (425) 814-5000

2901 174th St NE
Marysville, WA 98271
Phone (360) 454-1900

220 15th Ave SE
Puyallup, WA 98372
Phone (253) 435-3400

601 S Carr Rd
Ste 100
Renton, WA 98055
Phone (425) 227-3700

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

1101 Madison St
Ste 301
Seattle, WA 98104
Phone (206) 505-1101

209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Interoperability endpoints

  • Direct secure messaging: jstruckel653462@fhsce.catholichealth.net
  • Direct secure messaging: jstruckel3888893@ghc.direct-ci.net
  • Direct secure messaging: jclaus463590@wm.providencedirect.org

Organizations & group practices 12

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": "1300838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1326347782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30809 1ST AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980034074",
            "telephone_number": "253-839-2030",
            "fax_number": "253-839-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 MARTIN LUTHER KING JR WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984054265",
            "telephone_number": "253-596-3300",
            "fax_number": "253-596-3301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 NW Richmond Beach Rd",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981773122",
            "country_code": "US",
            "telephone_number": "206-533-2900",
            "fax_number": "206-503-2901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12910 Totem Lake Blvd NE Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kirkland",
            "state": "WA",
            "postal_code": "980342901",
            "country_code": "US",
            "telephone_number": "425-814-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30809 1st Ave S",
            "address_purpose": "LOCATION",
            "city": "Federal Way",
            "state": "WA",
            "postal_code": "980034074",
            "country_code": "US",
            "telephone_number": "253-839-2030",
            "fax_number": "253-839-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRUCKEL",
        "first_name": "JANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-23",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60484342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2038557",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstruckel653462@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "30809 1st Ave S",
            "city": "Federal Way",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980034074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "209 Martin Luther King Jr Way",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984054265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JANA",
            "last_name": "CLAUS",
            "middle_name": "STRUCKELOVA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.