Active NPI
Jessica M Lundeen, MD
- Neurology Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- MD00047074
- Practice address
- 3901 Hoyt Ave
Everett, WA 98201-4918 - Phone
- (425) 339-5408
- NPI assigned
- Aug 20, 2006
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | MD00047074 | WA | Primary |
Addresses
Primary practice location
3901 Hoyt Ave
Everett, WA 98201-4918
Mailing address
PO Box 5127
Everett, WA 98206-5127
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1092392 | Medicaid | WA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Pennsylvania State University College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5072
12040 NE 128TH St
Ms 105
Kirkland, WA 98034-3013
Phone (425) 899-2560
1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00047074 | WA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| King County Public Hospital District No. 2 | Current | Accepting new patients | |
| Overlake Medical Clinics LLC | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Overlake Medical Clinics, LLC | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients | |
| King County Public Hospital District No 2 | Current | Accepting new patients | |
| Optum Care Washington PLLC | Current | Accepting new patients |
Locations
1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460
1135 116th Ave NE
Bellevue, WA 98004
Phone (425) 289-3100
1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141
1909 214th St SE
Ste 110
Bothell, WA 98021
Phone (425) 488-4988
1321 Colby Ave
Everett, WA 98201
Phone (425) 259-4413
3901 Hoyt Ave
Everett, WA 98201
Phone (425) 258-3903
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
12040 NE 128th St
#105
Kirkland, WA 98034
Phone (425) 899-2560
12039 NE 128th St
Ste 300
Kirkland, WA 98034
Phone (425) 899-3123
Interoperability endpoints
- jessica.lundeen@direct.vmmc.org
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 and National Provider Directory roles.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Kirkland, WA
- NPI 1801986070
-
- Specialist
- Bellevue, WA
- NPI 1801828421
-
- Multi-Specialty Clinic/Center
- Everett, WA
- NPI 1831186766
-
- Internal Medicine Physician
- Kirkland, WA
- NPI 1467542639
-
- Physical Therapist
- Kirkland, WA
- NPI 1356920946
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
-
- Specialist
- Bellevue, WA
- NPI 1871745703
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kirkland, WA
- NPI 1033174933
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1598971855
-
- General Acute Care Hospital
- Bellevue, WA
- NPI 1861432726
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355356800000",
"number": "1659486595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5127",
"city": "EVERETT",
"state": "WA",
"postal_code": "982065127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 HOYT AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014918",
"telephone_number": "425-339-5408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNDEEN",
"first_name": "JESSICA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2012-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "WA",
"license": "MD00047074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1092392",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.