Jacob Nicholas Woller, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61382745 Issued in WA

Practice address

3130 Squalicum Pkwy Ste 100
Bellingham, WA 98225-1940

Phone

(360) 671-4509

Fax

(360) 756-5184

NPI assigned

Jan 31, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Care Network, PLLCGroup PAC ID 0446142046, 124 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peacehealth St Joseph Medical Center Hospital, Bellingham, WA, CCN 500030
• Peacehealth Peace Island Medical Center Hospital, Friday Harbor, WA, CCN 501340

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jwoller605851@direct.peacehealth.org
• Direct secure messaging: jwoller23867@direct.fcn.net

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.

• Family Care Network PLLC

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1427001015
  Medicare reassignment Care Compare group NPD
• Family Care Network PLLC

  • Family Medicine Physician
  • Bellingham, WA
  • NPI 1558952150
  NPD

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

• Peacehealth

  • Rural Acute Care Hospital
  • Bellingham, WA
  • NPI 1487904546
  Care Compare affiliation
• Peacehealth

  • Critical Access Hospital
  • Friday Harbor, WA
  • NPI 1487917233
  Care Compare affiliation
• Peacehealth

  • General Acute Care Hospital
  • Bellingham, WA
  • NPI 1689677320
  Care Compare affiliation
• St Joseph Hospital

  • Clinical Medical Laboratory
  • Bellingham, WA
  • NPI 1013137173

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1447956586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3610 MERIDIAN ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251732",
            "telephone_number": "360-318-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 SQUALICUM PKWY STE 100",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251940",
            "telephone_number": "360-671-4509",
            "fax_number": "360-756-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLLER",
        "first_name": "JACOB",
        "middle_name": "NICHOLAS",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-31",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61382745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Elizabeth Wolf, MA, LMFT
• Christina Lorene Wolf, AGACNP
• Craig Wolf
• Gregory Michael Wolgamot, M.D., PHD
• Emily Heather Wollebek
• Eden Christine Wollman
• Erica Wolverton
• Helen C Wong, RPH
• Ronald Yg Woo, M.D.
• Enid Wood

• Family Nurse Practitioner in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.

Verify at the official NPI Registry.