Active NPI
Jerry M Anderson Jr., MD
- Obstetrics & Gynecology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD60481560
- Practice address
- 201 16TH Ave E
Seattle, WA 98112-5226 - Phone
- (206) 326-3000
- Fax
- (877) 515-2975
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD60481560 | WA | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | L5224 | TX |
Addresses
Primary practice location
201 16TH Ave E
Seattle, WA 98112-5226
Mailing address
201 16TH Ave E
Seattle, WA 98112-5226
Phone (206) 326-3000
Other practice location 1
34509 9th Ave S
Ste 207
Federal Way, WA 98003-6700
Phone (253) 815-9595
Other practice location 2
1201 Terry Ave Fl 8
Seattle, WA 98101-2735
Phone (206) 287-6300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2044576 | Medicaid | WA | |
| 161225101 | Medicaid | TX | |
| 8F8791 | Other | TX | BCBS |
| 133275100 | Other | TX | FIRST CARE |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) | |
| Direct Messaging Address | janderson120479@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Texas Tech University Health Science Center School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 Terry Ave
FL 8
Seattle, WA 98101-2735
Phone (206) 287-6300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Virginia Mason Medical Center | Current | Accepting new patients | |
| Virginia Mason Medical Center | Obstetrics & Gynecology | Current | Accepting new patients |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients | |
| Virginia Mason Medical Center | Past | Accepting new patients | |
| Highline Medical Center | Past | Accepting new patients | |
| Family Medicine Centers Lab L P | Past | Accepting new patients | |
| FMC Medical Foundation, Inc. | Past | Accepting new patients |
Locations
34709 9th Ave S
Ste B500
Federal Way, WA 98003
Phone (253) 838-8552
34509 9th Ave S
Ste 207
Federal Way, WA 98003
Phone (253) 815-9595
34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340
4550 Fauntleroy Way SW
Seattle, WA 98126
Phone (206) 933-1041
1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980
3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399
1201 Terry Ave
Fl 8
Seattle, WA 98101
Phone (206) 287-6300
Organizations & group practices 11
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1801851258
-
- Multi-Specialty Clinic/Center
- Seattle, WA
- NPI 1396810701
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Interventional Cardiology Physician
- Tacoma, WA
- NPI 1821711953
-
- Obstetrics & Gynecology Physician
- Seattle, WA
- NPI 1841347358
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
-
- General Acute Care Hospital
- Burien, WA
- NPI 1558333682
-
- Clinic Pharmacy
- Seattle, WA
- NPI 1700880291
-
- Clinical Medical Laboratory
- Amarillo, TX
- NPI 1972515765
-
- Family Medicine Physician
- Amarillo, TX
- NPI 1649205972
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1356351688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 16TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981125226",
"telephone_number": "206-326-3000",
"fax_number": "877-515-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 16TH AVE E",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981125226",
"telephone_number": "206-326-3000",
"fax_number": "877-515-2975"
}
],
"practiceLocations": [
{
"address_1": "34509 9th Ave S",
"address_2": "Ste 207",
"address_purpose": "LOCATION",
"city": "Federal Way",
"state": "WA",
"postal_code": "980036700",
"country_code": "US",
"telephone_number": "253-815-9595",
"fax_number": "253-815-9797",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1201 Terry Ave Fl 8",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981012735",
"country_code": "US",
"telephone_number": "206-287-6300",
"fax_number": "206-341-1250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "JERRY",
"middle_name": "M",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD60481560",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "L5224",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2044576",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "161225101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8F8791",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE",
"identifier": "133275100",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepicwa.kp.org:14430/Interconnect-CE-PRD/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "201 16th Ave E",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981125226",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "janderson120479@fhsce.catholichealth.net",
"affiliation": "Y",
"affiliationName": "Franciscan Medical Group",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1201 Terry Ave Fl 8",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981012735",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.