Individual provider Active NPI

Melanie Marie Jensen, ARNP-CNM

  • Obstetrics & Gynecology Nurse Practitioner
  • Silverdale, WA
National Provider Identifier
1568058733
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
ARNP.AP.61188070-CNM Issued in WA
Practice address
9750 Levin Rd NW
Silverdale, WA 98383-8399
Phone
(360) 307-7202
NPI assigned
Dec 11, 2020
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X ARNP.AP.61188070-CNM WA Primary

Addresses

Primary practice location

9750 Levin Rd NW
Silverdale, WA 98383-8399

Mailing address

PO Box 1228
Suquamish, WA 98392-1228
Phone (360) 394-1423

Other practice location 1

1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (360) 649-6275

Other practice location 2

20700 Bond Rd NE Bldg B
Poulsbo, WA 98370-9099
Phone (360) 697-2199

Other names 1

  • Miss Melanie Marie Smoot Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210924000743 WA Practitioner - Certified Nurse Midwife (CNM) 9830596444 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kitsap OBGYN PLLCGroup PAC ID 4082925748, 8 clinicians

Practice addresses (Care Compare)

9750 Levin Rd NW
Silverdale, WA 98383-8399
Phone 3606986515133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
ARNP.AP.61188070-CNMWAMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kitsap OBGYN PLLC CurrentSince Sep 15, 2021 Accepting new patients
Commonspirit Washington Community Care Past Accepting new patients

Locations

20700 Bond Rd NE
Poulsbo, WA 98370
Phone (360) 598-3141

1800 NW Myhre Rd
Silverdale, WA 98383
Phone (360) 337-8800

9750 Levin Rd NW
Silverdale, WA 98383
Phone (360) 307-7202

Interoperability endpoints

  • FHIR API: https://kitsapobgyn.mmi.prod.fhir.ema-api.com/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1568058733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "SUQUAMISH",
            "state": "WA",
            "postal_code": "983921228",
            "telephone_number": "360-394-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9750 LEVIN RD NW",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983838399",
            "telephone_number": "360-307-7202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 NW Myhre Rd",
            "address_purpose": "LOCATION",
            "city": "Silverdale",
            "state": "WA",
            "postal_code": "983837663",
            "country_code": "US",
            "telephone_number": "360-649-6275",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20700 Bond Rd NE Bldg B",
            "address_purpose": "LOCATION",
            "city": "Poulsbo",
            "state": "WA",
            "postal_code": "983709099",
            "country_code": "US",
            "telephone_number": "360-697-2199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "MELANIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "ARNP-CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "WA",
            "license": "ARNP.AP.61188070-CNM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELANIE",
            "last_name": "SMOOT",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.