Individual provider Active NPI

Jillian Webb, NP-C

  • Family Nurse Practitioner
  • Richland, WA
National Provider Identifier
1669843447
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN002073 Issued in NV
Practice address
1215 George Washington Way
Richland, WA 99352-3411
Phone
(509) 946-7646
Fax
(509) 946-7666
NPI assigned
Oct 19, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60971525 WA
Family Nurse Practitioner 363LF0000X APRN002073 NV Primary

Addresses

Primary practice location

1215 George Washington Way
Richland, WA 99352-3411

Mailing address

10137 Blue Water Peak Ave
Las Vegas, NV 89166-5210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190827003243 WA Practitioner - Nurse Practitioner 9234430026 Reassigns benefits to 3 organizations
I20210603002054 OR Practitioner - Nurse Practitioner 9234430026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Immediate Care and Medical Centers PSGroup PAC ID 7618865775, 19 clinicians

Practice addresses (Care Compare)

1215 George Washington Way
Richland, WA 99352-3411
Phone (509) 946-1695

1225 SE Commercial Dr
College Place, WA 99324-9721
Phone (509) 516-1101

1516 Jadwin Ave
Richland, WA 99354-2902
Phone (509) 946-1695

3601 Plaza Way
Kennewick, WA 99338-2716
Phone (509) 236-0391

4001 Tieton Dr
Yakima, WA 98908-3345
Phone (509) 410-0746

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Pacs 2 PC CurrentSince Dec 4, 2023 Accepting new patients
Icco, LLC CurrentSince Aug 13, 2023 Accepting new patients
Icco, LLC CurrentSince Dec 1, 2023 Accepting new patients
Physicians Immediate Care & Medical Centers, P.S. CurrentSince Aug 7, 2023 Accepting new patients
Washington Pac Services PC CurrentSince Dec 4, 2023 Accepting new patients
Icco LLC CurrentSince Dec 1, 2023 Accepting new patients
Northwest Healthcare and Wellness Center, PLLC Past Accepting new patients
Medinix Medical Services Singh PLLC Family PastSince Mar 29, 2023 Accepting new patients

Locations

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

3675 Pacific Ave
#101
Forest Grove, OR 97116
Phone (971) 762-4611

1890 NW 6th St
Grants Pass, OR 97526
Phone (541) 507-0684

1623 N 1st St
Hermiston, OR 97838
Phone (458) 300-9014

3737 Shasta Way
Ste A
Klamath Falls, OR 97603
Phone (541) 883-2337

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

1225 SE Commercial Dr
College Place, WA 99324
Phone (509) 516-1101

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

1516 Jadwin Ave
Richland, WA 99354
Phone (509) 946-1695

1215 George Washington Way
Richland, WA 99352
Phone (509) 946-1004

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

Interoperability endpoints

  • Direct secure messaging: jillian.webb.p40@direct.medcor.nextgenshare.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1445212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1669843447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10137 BLUE WATER PEAK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891665210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 GEORGE WASHINGTON WAY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523411",
            "telephone_number": "509-946-7646",
            "fax_number": "509-946-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "JILLIAN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-19",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60971525",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRN002073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

Verify at the official NPI Registry.