NPIMap

Individual provider Active NPI

Leslie A Jette, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Olympia, WA
National Provider Identifier
1396994869
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD60923760 Issued in WA
Practice address
500 Lilly Rd NE Ste 201
Olympia, WA 98506-5197
Phone
(360) 413-8272
Fax
(360) 413-8878
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X MD60923760 WA
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD60923760 WA Primary
Hospitalist Physician 208M00000X MD60923760 WA

Addresses

Primary practice location

500 Lilly Rd NE Ste 201
Olympia, WA 98506-5197

Mailing address

PO Box 5299
Ms: 820-5-Pco
Tacoma, WA 98415-0299
Phone (360) 706-6209

Other practice location 1

3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (360) 706-6209

Other names 1

  • Leslie Alisa Jette-Kelly Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ljettekelly1160269@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190930001416 WA Practitioner - Pulmonary Disease 3375761760 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Uniformed Services Uhs Fe Hebert School of Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Medical Center Specialty Physicians LLCGroup PAC ID 2567651771, 103 clinicians

Practice addresses (Care Compare)

3900 Capital Mall Dr SW
Olympia, WA 98502-8654
Phone (360) 704-4743

Hospital & facility affiliations

  • Capital Medical Center Hospital, Olympia, WA, CCN 500139
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Summit Pacific Medical Center Hospital, Elma, WA, CCN 501304
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Capital Medical Center Specialty Physicians, LLC Hospitalist CurrentSince Jan 1, 2020 Accepting new patients
Multicare Health System CurrentSince May 6, 2021 Accepting new patients
Multicare Health System CurrentSince May 6, 2021 Accepting new patients
Providence Health & Services Washington CurrentSince Feb 23, 2020 Accepting new patients
Wenatchee Valley Hospital CurrentSince Jun 1, 2021 Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

3900 Capital Mall Dr SW
Olympia, WA 98502
Phone (360) 704-4743

500 Lilly Rd NE
Ste 201
Olympia, WA 98506
Phone (360) 413-8272

17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174

933 Red Apple Rd
Wenatchee, WA 98801
Phone (509) 655-6125

820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868

1201 S Miller St
Wenatchee, WA 98801
Phone (509) 662-2208

Interoperability endpoints

  • Direct secure messaging: ljettekelly596706@direct.multicare.org

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1396994869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5299",
            "address_2": "MS: 820-5-PCO",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984150299",
            "telephone_number": "360-706-6209",
            "fax_number": "360-704-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LILLY RD NE STE 201",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065197",
            "telephone_number": "360-413-8272",
            "fax_number": "360-413-8878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 Capital Mall Dr SW",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985028654",
            "country_code": "US",
            "telephone_number": "360-706-6209",
            "fax_number": "360-704-4751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JETTE",
        "first_name": "LESLIE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD60923760",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD60923760",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WA",
            "license": "MD60923760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ljettekelly1160269@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 Lilly Rd NE Ste 201",
            "city": "Olympia",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985065197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "JETTE-KELLY",
            "middle_name": "ALISA",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.