NPIMap

Individual provider Active NPI

Kurt Warren Jensen, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Tacoma, WA
National Provider Identifier
1578752978
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
MD60152955 Issued in WA
Practice address
2420 S State St
Tacoma, WA 98405-2845
Phone
(253) 426-4000
Fax
(253) 428-8440
NPI assigned
Oct 22, 2007
Last updated
Feb 19, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD60152955 WA Primary
Pulmonary Disease Physician 207RP1001X MD60152955 WA

Addresses

Primary practice location

2420 S State St
Tacoma, WA 98405-2845

Mailing address

2420 S State St
Tacoma, WA 98405-2845
Phone (253) 426-4000

Other identifiers 1

IdentifierTypeStateIssuer
2007784MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kjensen17326@fhsce.catholichealth.net Direct
Direct Messaging Address kjensen17326@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914001322 WA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 4082796735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Oregon Health Sciences University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1708 Yakima Ave
Suite 300
Tacoma, WA 98405-5309
Phone (253) 572-5140

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Oct 1, 2015 Accepting new patients
Pulmonary Consultants, PLLC Past Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

34509 9th Ave S
Ste 104
Federal Way, WA 98003
Phone (253) 572-5140

11511 Canterwood Blvd
Ste 300
Gig Harbor, WA 98332
Phone (253) 272-5881

2920 S Meridian
Ste 100
Puyallup, WA 98373
Phone (253) 604-4599

1708 Yakima Ave
Ste 300
Tacoma, WA 98405
Phone (253) 363-8700

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

2420 S State St
Tacoma, WA 98405
Phone (253) 426-4000

316 S K St
Ste 401
Tacoma, WA 98405
Phone (206) 572-5140

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1578752978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 S STATE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052845",
            "telephone_number": "253-426-4000",
            "fax_number": "253-428-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 S STATE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052845",
            "telephone_number": "253-426-4000",
            "fax_number": "253-428-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENSEN",
        "first_name": "KURT",
        "middle_name": "WARREN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WA",
            "license": "MD60152955",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WA",
            "license": "MD60152955",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007784",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjensen17326@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1708 Yakima Ave Ste 300",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984055309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjensen17326@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2420 S State St",
            "city": "Tacoma",
            "state": "WA",
            "country_code": "US",
            "postal_code": "984052845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

Verify at the official NPI Registry.