Individual provider Active NPI

Vallie Jacobson, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1376158501
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61433201 Issued in WA
Practice address
325 9TH Ave
Seattle, WA 98104-2420
Phone
(206) 543-8736
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60746399 WA
Family Nurse Practitioner 363LF0000X AP61433201 WA Primary

Addresses

Primary practice location

325 9TH Ave
Seattle, WA 98104-2420

Mailing address

500 SW 7TH St Ste A205
Renton, WA 98057-2983
Phone (877) 522-1275

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
I20240926003921 WA Practitioner - Nurse Practitioner 8628509932 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ideal Option PLLCGroup PAC ID 6709013105, 90 clinicians

Practice addresses (Care Compare)

4301 Hoyt Ave
Everett, WA 98203-2316
Phone 87752212752123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60746399WAMDRegistered Nurse
AP61433201WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ideal Option, PLLC Current Accepting new patients
Ideal Option, PLLC Current Accepting new patients
Ideal Option, PLLC CurrentSince Oct 1, 2024 Accepting new patients
Ideal Telemedicine Services, LLC CurrentSince Oct 1, 2024 Accepting new patients
Ideal Telemedicine Services, LLC Past Accepting new patients

Locations (25 of 32)

158 W Olive St
Newport, OR 97365
Phone (541) 248-2634

16410 Smokey Point Blvd
Ste 101
Arlington, WA 98223
Phone (360) 653-8711

1811 Howard Rd
Ste 101
Auburn, WA 98002

1215 120th Ave NE
Ste 201
Bellevue, WA 98005
Phone (425) 248-4200

3800 Byron Ave
Ste 116
Bellingham, WA 98229
Phone (509) 416-0253

3800 Byron Ave
Ste 122
Bellingham, WA 98229

667 Grant Rd
Ste 3
East Wenatchee, WA 98802
Phone (509) 860-6530

7315 212th St SW
Ste 201
Edmonds, WA 98026
Phone (425) 778-8116

4301 Hoyt Ave
Everett, WA 98203
Phone (425) 317-8025

8508 W Gage Blvd
Ste A101
Kennewick, WA 99336
Phone 8775221275 ext. 3049

8514 W Gage Blvd
Ste G
Kennewick, WA 99336
Phone 50922212756

1146 14th Ave
Longview, WA 98632

1617 Grove St
Marysville, WA 98270
Phone (360) 356-6533

101 E Main St
Ste 201
Monroe, WA 98272
Phone (360) 863-0642

1520 Parker Way
Mount Vernon, WA 98273

1800 Cooper Point Rd SW
Ste 4
Olympia, WA 98502
Phone 87752212783049

5615 Dunbarton Ave
Pasco, WA 99301
Phone 50922212752123

745 N Grand Ave
Apt 107
Pullman, WA 99163

8116 112th Street Ct E
Ste A
Puyallup, WA 98373
Phone (253) 848-5033

500 SW 7th St
Ste A205
Renton, WA 98057

500 SW 7th St
Ste A105
Renton, WA 98057

500 SW 7th St
Ste A104
Renton, WA 98057

500 SW 7th St
Ste 205
Renton, WA 98057
Phone (425) 687-7370

Ste 302
Seattle, WA 98125
Phone (206) 367-6477

26 E 5th Ave
Spokane, WA 99202
Phone (509) 458-7720

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1376158501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SW 7TH ST STE A205",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572983",
            "telephone_number": "877-522-1275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 9TH AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042420",
            "telephone_number": "206-543-8736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBSON",
        "first_name": "VALLIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60746399",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61433201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.