Individual provider Active NPI

Gretchen Mjelde, M.D.

  • Family Medicine Physician
  • Auburn, WA
National Provider Identifier
1669732400
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ML60288595 Issued in WA
Practice address
126 Auburn Ave Ste 300
Auburn, WA 98002-5082
Phone
(253) 833-1217
NPI assigned
May 28, 2012
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ML60288595 WA Primary

Addresses

Primary practice location

126 Auburn Ave Ste 300
Auburn, WA 98002-5082

Mailing address

955 Powell Ave SW
Renton, WA 98057-2908
Phone (425) 277-1311

Other practice location 1

550 16th Ave
#100
Seattle, WA 98122-5699
Phone (206) 320-2484

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gmjelde20001@healthpoint.direct-ci.com

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
I20150806012564 WA Practitioner - Family Practice 5799006961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Washington School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HealthpointGroup PAC ID 9335042886, 175 clinicians

Practice addresses (Care Compare)

126 Auburn Ave
Suite 300
Auburn, WA 98002-5082
Phone (253) 735-0166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ML60288595WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Family Medicine CurrentSince Sep 1, 2015 Accepting new patients
Healthpoint CurrentSince Sep 1, 2015 Accepting new patients
Healthpoint Family Medicine Current Accepting new patients
Healthpoint Family Medicine Past Accepting new patients

Locations

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

400 S 2nd St
Renton, WA 98057
Phone (425) 204-3400

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

Interoperability endpoints

  • Direct secure messaging: gmjelde20001@healthpoint.direct-ci.com
  • Direct secure messaging: gretchen.mjelde.p3@direct.hpc.nextgenshare.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1669732400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908",
            "telephone_number": "425-277-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 AUBURN AVE STE 300",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025082",
            "telephone_number": "253-833-1217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 16th Ave",
            "address_2": "#100",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981225699",
            "country_code": "US",
            "telephone_number": "206-320-2484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MJELDE",
        "first_name": "GRETCHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-28",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "ML60288595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmjelde20001@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "126 Auburn Ave Ste 300",
            "city": "Auburn",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980025082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Auburn, WA

Sources for this page

Verify at the official NPI Registry.