Individual provider Active NPI

Jennifer Renae McEvoy, MD

  • Diagnostic Radiology Physician
  • Lynnwood, WA
National Provider Identifier
1508056482
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD60287521 Issued in WA
Practice address
19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone
(425) 563-1500
Fax
(425) 563-1501
NPI assigned
Jul 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 101590 AK
Diagnostic Radiology Physician 2085R0202X 51133 WI
Diagnostic Radiology Physician 2085R0202X M-12187 ID
Diagnostic Radiology Physician 2085R0202X MD60287521 WA Primary

Addresses

Primary practice location

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748

Mailing address

19020 33Rd Ave W Ste 210
Lynnwood, WA 98036-4748
Phone (425) 563-1500

Other practice location 1

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Other identifiers 6

IdentifierTypeStateIssuer
310105OtherWAL & I PROVIDER NUMBER
1508056482MedicaidID
309291OtherWAL & I PROVIDER NUMBER
310103OtherWAL & I PROVIDER NUMBER
1678485MedicaidAK
2021772MedicaidWA

Other names 1

  • Dr. Jennifer R. Huddleston Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120803000654 WA Practitioner - Diagnostic Radiology 2668658758 Reassigns benefits to 23 organizations
I20140611002020 ID Practitioner - Diagnostic Radiology 2668658758 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Radia Oregon Radiology Medical Group LLCGroup PAC ID 2961852637, 122 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Swedish Radia Imaging Center at Edmonds LLCGroup PAC ID 5496778292, 115 clinicians
South Sound Radiologists Inc P SGroup PAC ID 1254229305, 76 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Medford Radiological Group PCGroup PAC ID 2062303324, 91 clinicians
Tower Imaging Medical Associates IncGroup PAC ID 2163608688, 93 clinicians
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians

Practice addresses (Care Compare)

Spokane, WA 99223
Phone (918) 392-1702

11521 NE 128TH St
Suite 200
Kirkland, WA 98034-4317
Phone (425) 952-6100

1201 S Miller St
Wenatchee, WA 98801-3201
Phone (509) 662-2208

1215 N McDonald Rd
Suite 101
Spokane Valley, WA 99216-1557
Phone (425) 563-1500

1229 Madison St
Suite 900
Seattle, WA 98104-1391
Phone (206) 292-6233

1593 E Polston Ave
Post Falls, ID 83854-5326
Phone (208) 262-2300

18100 NE Union Hill Rd
Redmond, WA 98052-3330
Phone (425) 498-2030

21700 Hwy 99
Edmonds, WA 98026-8034
Phone (425) 297-6200

3417 Ensign Rd NE
Olympia, WA 98506-5064
Phone (360) 493-4600

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966

4107 E 61St Ave
Spokane, WA 99223-1704
Phone (541) 618-5800

500 17TH Ave
Seattle, WA 98122-5711
Phone (206) 320-3700

515 Minor Ave
Suite 110
Seattle, WA 98104-2145
Phone (206) 386-9699

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101590AKMDDiagnostic Radiology Physician
M-12187IDMDDiagnostic Radiology Physician
MD60287521WAMDDiagnostic Radiology Physician
51133WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wenatchee Valley Hospital CurrentSince Jul 21, 2013 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 12, 2023 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Aug 3, 2014 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Public Hospital District No 4 King County Washington Current Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Nov 15, 2012 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Swedish Health Services CurrentSince Oct 21, 2014 Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology CurrentSince Jan 1, 2019 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Nov 15, 2012 Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Jan 12, 2025 Accepting new patients
Proliance Surgeons Inc P S Current Accepting new patients
Central Washington Health Services Association Current Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jul 1, 2012 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Jan 1, 2014 Accepting new patients
Public Hospital District No 4 King County Washington CurrentSince Jul 1, 2012 Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Nov 23, 2025 Accepting new patients
Proliance Surgeons, Inc., P.S. CurrentSince Apr 18, 2022 Accepting new patients
Swedish Health Services CurrentSince Oct 21, 2014 Accepting new patients
Swedish Radia Imaging Center at Edmonds LLC Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
Swedish Health Services CurrentSince Nov 1, 2015 Accepting new patients
Swedish Health Services CurrentSince Sep 2, 2020 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 12, 2023 Accepting new patients
Central Washington Health Services Association CurrentSince Sep 1, 2022 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 1, 2026 Accepting new patients
Swedish Health Services CurrentSince Nov 1, 2015 Accepting new patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Jun 29, 2025 Accepting new patients
Swedish Health Services CurrentSince Sep 2, 2020 Accepting new patients
Proliance Surgeons Inc P S CurrentSince Apr 18, 2022 Accepting new patients
Optum Care Washington PLLC Current Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Jan 3, 2018 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince May 9, 2024 Accepting new patients
Everett Radia LLC Diagnostic Radiology Past Accepting new patients
Norcal Healthconnect LLC Past Accepting new patients
Public Hospital District No 4, King County Wa Past Accepting new patients

Locations (25 of 59)

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

121 Sotoyome St
Santa Rosa, CA 95405
Phone (707) 546-3141

1593 E Polston Ave
Post Falls, ID 83854
Phone (208) 262-2300

945 Hildebrand Ln NE
Ste 100
Bainbridge Island, WA 98110
Phone (206) 855-7700

303 Cottage Ave
Cashmere, WA 98815
Phone (509) 782-1541

19 N 7th St
Cheney, WA 99004
Phone (509) 235-6151

80 N Main St
Coupeville, WA 98239
Phone (360) 378-4424

21600 Highway 99
Ste 240
Edmonds, WA 98026
Phone (206) 774-2632

21700 Highway 99
Edmonds, WA 98026
Phone (425) 640-4949

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

3102 Colby Ave
Everett, WA 98201
Phone (425) 258-8110

3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419

1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413

1100 Pacific Ave
Ste 300
Everett, WA 98201
Phone (425) 337-7000

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

510 8th Ave NE
Ste 200
Issaquah, WA 98029
Phone (425) 392-3030

5708 E Lake Sammamish Pkwy SE
Issaquah, WA 98029
Phone (425) 688-5488

11521 NE 128th St
Ste 200
Kirkland, WA 98034
Phone (425) 952-6100

12040 NE 128th St
Kirkland, WA 98034
Phone (425) 899-1000

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

19020 33rd Ave W
Ste 210
Lynnwood, WA 98036
Phone 42556315001

Organizations & group practices 36

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 36

Hospital & facility affiliations 7

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": "1185494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1508056482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19020 33RD AVE W STE 210",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980364748",
            "telephone_number": "425-563-1500",
            "fax_number": "425-563-1501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCEVOY",
        "first_name": "JENNIFER",
        "middle_name": "RENAE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-27",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AK",
            "license": "101590",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "51133",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ID",
            "license": "M-12187",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD60287521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I PROVIDER NUMBER",
            "identifier": "310105",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508056482",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I PROVIDER NUMBER",
            "identifier": "309291",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I PROVIDER NUMBER",
            "identifier": "310103",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1678485",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2021772",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "HUDDLESTON",
            "middle_name": "R.",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynnwood, WA

Sources for this page

Verify at the official NPI Registry.