Individual provider Active NPI

Jennifer Lynn Martin, PA-C

  • Physician Assistant
  • Seattle, WA
National Provider Identifier
1437198652
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.PA.10004764 Issued in WA
Practice address
601 Broadway FL 6
Seattle, WA 98122-5330
Phone
(206) 386-2600
Fax
(206) 622-1644
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA217076 OR
Physician Assistant 363A00000X PA.PA.10004764 WA Primary
Surgical Physician Assistant 363AS0400X PA.PA.10004764 WA

Addresses

Primary practice location

601 Broadway FL 6
Seattle, WA 98122-5330

Mailing address

PO Box 719
Sunnyside, WA 98944-0719
Phone (509) 837-1617

Other practice location 1

1046 6th Ave SW
Albany, OR 97321-1916
Phone (541) 812-4000

Other practice location 2

355 Chardonnay Ave
Prosser, WA 99350-9521
Phone (509) 781-6366

Other identifiers 1

IdentifierTypeStateIssuer
1010389MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmartin269520@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, TX, OH, NE, NM6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20050413000359 WA Practitioner - Physician Assistant 4486691243 Reassigns benefits to 10 organizations
I20081209000751 OR Practitioner - Physician Assistant 4486691243 Reassigns benefits to 1 organization
I20100607000560 TX Practitioner - Physician Assistant 4486691243 Reassigns benefits to 2 organizations
I20241219003970 OH Practitioner - Physician Assistant 4486691243 Reassigns benefits to 1 organization
I20250412000209 NE Practitioner - Physician Assistant 4486691243 Reassigns benefits to 1 organization
I20260203000801 NM Practitioner - Physician Assistant 4486691243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians
Okanogan Douglas County Hospital Dist 1Group PAC ID 7810882792, shared by 4 NPIs, 34 clinicians

Practice addresses (Care Compare)

3436 Isleta Blvd SW
Albuquerque, NM 87105-5837
Phone (505) 462-7777

415 Hospital Way
Brewster, WA 98812-0577
Phone (509) 689-3749

507 Hospital Way
Brewster, WA 98812-0019
Phone (509) 689-2517

PO Box
Suite 577
Brewster, WA 98812-0577

Hospital & facility affiliations

  • Tuba City Regional Health Care Corporation Hospital, Tuba City, AZ, CCN 030073
  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Great Plains Health Hospital, North Platte, NE, CCN 280065
  • Three Rivers Hospital Hospital, Brewster, WA, CCN 501324
  • Lincoln Hospital Hospital, Davenport, WA, CCN 501305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3245NEMDPhysical Therapist
PA217076ORMDPhysician Assistant
1004764WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Aug 1, 2022 Accepting new patients
North Platte Nebraska Hospital Corporation CurrentSince Mar 1, 2025 Accepting new patients
Rosebud Indian Health Service CurrentSince Jan 1, 2021 Accepting new patients
King County Public Hospital District No. 2 Current Accepting new patients
Proliance Surgeons Inc P S Surgical CurrentSince Jun 16, 2017 Accepting new patients
King County Public Hospital District No. 2 CurrentSince Mar 1, 2021 Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Dec 23, 2022 Accepting new patients
King County Public Hospital District No 2 CurrentSince Mar 1, 2021 Accepting new patients
Okanogan Douglas County Hospital Dist 1 CurrentSince Aug 1, 2022 Accepting new patients
Okanogan Douglas County Hospital Dist1 CurrentSince Aug 1, 2022 Accepting new patients
Good Shepherd Health Care System CurrentSince Jan 5, 2024 Accepting new patients
Grays Harbor County Public Hospital District No. 1 CurrentSince Dec 23, 2022 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Aug 25, 2025 Accepting new patients
Presbyterian Healthcare Services CurrentSince Feb 15, 2026 Accepting new patients
Tuba City Regional Health Care Corporation CurrentSince Aug 25, 2025 Accepting new patients
Proliance Surgeons, Inc., P.S Surgical CurrentSince Jun 16, 2017 Accepting new patients
NW Cardiothoracic & Transplant Surgeons P.S. Past Accepting new patients
Ocala Health Surgical Group LLC PastSince Aug 7, 2018 Accepting new patients
Pacific Surgical PC Past Accepting new patients
Marion SC Emergency Physicians Past Accepting new patients

Locations

601 W Leota St
North Platte, NE 69101
Phone (308) 534-2288

7400 Menaul Blvd NE
Albuquerque, NM 87110
Phone (505) 596-2400

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

3436 Isleta Blvd SW
Albuquerque, NM 87105
Phone (505) 462-7777

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988

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

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

610 E Main St
Elma, WA 98541
Phone (360) 346-2222

12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

805 Madison St
Ste 901
Seattle, WA 98104
Phone (206) 264-8100

601 Broadway
Fl 6
Seattle, WA 98122
Phone (206) 633-8100

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

Interoperability endpoints

  • Direct secure messaging: jmartin2622547@wm.providencedirect.org
  • Direct secure messaging: jmartin269520@samhealth.direct-ci.com

Organizations & group practices 33

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.

View all 33

Hospital & facility affiliations 8

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1437198652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 719",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989440719",
            "telephone_number": "509-837-1617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 BROADWAY FL 6",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981225330",
            "telephone_number": "206-386-2600",
            "fax_number": "206-622-1644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1046 6th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "OR",
            "postal_code": "973211916",
            "country_code": "US",
            "telephone_number": "541-812-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Chardonnay Ave",
            "address_purpose": "LOCATION",
            "city": "Prosser",
            "state": "WA",
            "postal_code": "993509521",
            "country_code": "US",
            "telephone_number": "509-781-6366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA217076",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA.PA.10004764",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA.PA.10004764",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010389",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmartin269520@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "1046 6th Ave SW",
            "city": "Albany",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973211916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.