Active NPI
Kristen Jentges, APRN
- Family Nurse Practitioner
- Mattawa, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60478185
- Practice address
- 210 Government Rd
Mattawa, WA 99349-5116 - Phone
- (509) 932-4499
- Fax
- (509) 932-5363
- NPI assigned
- Nov 15, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60478185 | WA | Primary |
Addresses
Primary practice location
210 Government Rd
Mattawa, WA 99349-5116
Mailing address
210 Government Rd
Mattawa, WA 99349-5116
Phone (509) 932-4499
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP60478185 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Livingston Healthcare | Past | Accepting new patients | |
| Multicare Health System | Nurse Practitioner | Past | Accepting new patients |
| Livingston Healthcare | Past | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Organizations & group practices 7
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.
-
dba Multicare Neurological Surgery
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
dba Mattawa Community Medical Clinic
- Federally Qualified Health Center (FQHC)
- Mattawa, WA
- NPI 1699720797
-
dba MultiCare Deaconess Retail Pharmacy
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
dba Pediatrics Northwest by Mary Bridge Children's
- Pediatrics Physician
- Federal Way, WA
- NPI 1407409741
-
dba Auburn MultiCare Clinic
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
Nurse Practitioner
-
dba Livingston HealthCare Gardiner
- Rehabilitation Clinic/Center
- Gardiner, MT
- NPI 1225670375
-
- Critical Access Hospital
- Livingston, MT
- NPI 1245222306
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Yakima Memorial Hospital
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785369600000",
"number": "1649514589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 GOVERNMENT RD",
"city": "MATTAWA",
"state": "WA",
"postal_code": "993495116",
"telephone_number": "509-932-4499",
"fax_number": "509-932-5363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 GOVERNMENT RD",
"city": "MATTAWA",
"state": "WA",
"postal_code": "993495116",
"telephone_number": "509-932-4499",
"fax_number": "509-932-5363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JENTGES",
"first_name": "KRISTEN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60478185",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mattawa, WA
- Grant County Public Hospital District No 5 (Mattawa Community Medical Clinic)
- Grant County Public Hospital District No 5 (Mattawa Community Medical Clinic)
- Grant County Public Hospital District No 5 (Mattawa Community Medical Clinic)
- Osmark Jauregui, PHARMD
- Daniel Jentges, ARNP
- Cynthia A Johnson, CD
- Simar Kaur, ARNP
- Bryan Duane Larson, DNP-PMHNP
- Sonia Magana
- Bianca Mendoza, OD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.