Individual provider Active NPI

Dana Ann Jungschaffer, MD

  • Ophthalmology Physician
  • Bremerton, WA
National Provider Identifier
1649359647
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
0025209MD00038024 Issued in WA
Practice address
2655 Wheaton Way
Kitsap Eye Physicians PS
Bremerton, WA 98310-3318
Phone
(360) 377-3703
Fax
(360) 377-9469
NPI assigned
Nov 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0025209MD00038024 WA Primary

Addresses

Primary practice location

2655 Wheaton Way
Kitsap Eye Physicians PS
Bremerton, WA 98310-3318

Mailing address

3260 NW Mount Vintage Way
Silverdale, WA 98383-6000
Phone (360) 307-7917

Other identifiers 1

IdentifierTypeStateIssuer
8250516MedicaidWA

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000178 WA Practitioner - Ophthalmology 2961528492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Southern California Keck School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Clinic of Bremerton, Inc. P.S.Group PAC ID 1254229248, 7 clinicians

Practice addresses (Care Compare)

3260 NW Mount Vintage Way
Silverdale, WA 98383-6000
Phone (360) 698-9500

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

Merit-based Incentive Payment System (MIPS)

Final score
93.28 of 100Reported as group
Quality
100
Improvement activities
40
Cost
77.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0025209MD00038024WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Clinic of Bremerton, Inc. P.S. Ophthalmology CurrentSince May 22, 2017 Accepting new patients
North Kitsap Ambulatory Surgery Center, LLC PastSince Dec 31, 2005 Accepting new patients

Locations

3260 NW Mount Vintage Way
Silverdale, WA 98383
Phone (360) 698-1685

Interoperability endpoints

  • Direct secure messaging: djungschaffer@aels.intellechartdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1649359647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3260 NW MOUNT VINTAGE WAY",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983836000",
            "telephone_number": "360-307-7917",
            "fax_number": "360-698-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 WHEATON WAY",
            "address_2": "KITSAP EYE PHYSICIANS PS",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103318",
            "telephone_number": "360-377-3703",
            "fax_number": "360-377-9469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGSCHAFFER",
        "first_name": "DANA",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "0025209MD00038024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8250516",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.