Active NPI
Jennifer Lynn Martin, PA-C
- Physician Assistant
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.PA.10004764
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1010389 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
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
- Okanogan Douglas County Hospital Dist 1
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
- Presbyterian Hospital
- Great Plains Health
- Three Rivers Hospital
- Lincoln Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3245 | NE | MD | Physical Therapist |
| PA217076 | OR | MD | Physician Assistant |
| 1004764 | WA | MD | Physician Assistant |
Practice roles
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
- jmartin2622547@wm.providencedirect.org
- 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.
-
- Internal Medicine Physician
- Albuquerque, NM
- NPI 1104802354
-
- Critical Access Hospital
- Brewster, WA
- NPI 1205942257
-
- Critical Access Hospital
- Brewster, WA
- NPI 1356305395
-
- Critical Access Hospital
- Hermiston, OR
- NPI 1295789667
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1013490507
-
- Emergency Medical Services (Emergency Medicine) Physician
- Ephrata, WA
- NPI 1134283930
-
- Critical Access Hospital
- Elma, WA
- NPI 1740211028
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Critical Access Hospital
- Davenport, WA
- NPI 1841234598
-
- Emergency Medicine Physician
- Arlington, WA
- NPI 1235172370
-
- Physician Assistant
- Arlington, WA
- NPI 1275567919
-
- Orthopaedic Surgery Physician
- Seattle, WA
- NPI 1023170313
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Davenport, WA
- NPI 1841234598
-
- Critical Access Hospital
- Brewster, WA
- NPI 1356305395
-
- Critical Access Hospital
- Brewster, WA
- NPI 1043363591
-
- General Acute Care Hospital
- North Platte, NE
- NPI 1700855533
-
- Clinical Medical Laboratory
- North Platte, NE
- NPI 1902660509
Hospital
-
- General Acute Care Hospital
- Albuquerque, NM
- NPI 1215913470
-
- Psychiatric Hospital Unit
- Albuquerque, NM
- NPI 1598740482
-
- General Acute Care Hospital
- Tuba City, AZ
- NPI 1548294424
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.