Individual provider Active NPI

Jessica Anne Greb, ARNP

  • Family Nurse Practitioner
  • Puyallup, WA
National Provider Identifier
1417202656
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60299877 Issued in WA
Practice address
16515 Meridian E Ste 104a
Puyallup, WA 98375-6255
Phone
(253) 792-6650
NPI assigned
Jul 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60299877 WA Primary

Addresses

Primary practice location

16515 Meridian E Ste 104a
Puyallup, WA 98375-6255

Mailing address

16515 Meridian E Ste 104a
Puyallup, WA 98375-6255
Phone (253) 792-6650

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
I20120815000396 WA Practitioner - Nurse Practitioner 5597911008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians
Privia Medical Group Washington PLLCGroup PAC ID 2264320837, shared by 6 NPIs, 73 clinicians

Practice addresses (Care Compare)

16515 Meridian E
Suite 104a
Puyallup, WA 98375-6255
Phone (253) 697-3030

311 S L St
Tacoma, WA 98405-3720

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

55 W Tietan St
Walla Walla, WA 99362-4445
Phone 50952537201405

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System CurrentSince Oct 19, 2015 Accepting new patients
Sea Mar Community Health Centers Family CurrentSince Aug 30, 2014 Accepting new patients
Multicare Health System Current Accepting new patients
Sea Mar Community Health Centers Family Current Accepting new patients
Multicare Health System CurrentSince Oct 19, 2015 Accepting new patients
Sea Mar Community Health Centers CurrentSince Aug 30, 2014 Accepting new patients
Multicare Health System Past Accepting new patients
Auburn Family Medical Center, Inc., P.S. Past Accepting new patients

Locations

202 N Division St
Ste 405
Auburn, WA 98001
Phone (206) 939-3604

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

3030 Limited Ln NW
Olympia, WA 98502
Phone (360) 352-6000

16515 Meridian E
Ste 104A
South Hill, WA 98375
Phone (253) 697-3030

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Organizations & group practices 8

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 3

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": "1342137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443052800000",
    "number": "1417202656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16515 MERIDIAN E STE 104A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756255",
            "telephone_number": "253-792-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16515 MERIDIAN E STE 104A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983756255",
            "telephone_number": "253-792-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREB",
        "first_name": "JESSICA",
        "middle_name": "ANNE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-13",
        "last_updated": "2015-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60299877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Puyallup, WA

Sources for this page

Verify at the official NPI Registry.