Individual provider Active NPI

Nanci Jayne Marquess, MD

  • Pediatrics Physician
  • Bellevue, WA
National Provider Identifier
1730258500
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00027591 Issued in WA
Practice address
14350 SE Eastgate Way
Bellevue, WA 98007-6458
Phone
(206) 296-9770
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00027591 WA Primary

Addresses

Primary practice location

14350 SE Eastgate Way
Bellevue, WA 98007-6458

Mailing address

17343 NE 129TH St
Redmond, WA 98052-1299
Phone (425) 895-0975

Other identifiers 1

IdentifierTypeStateIssuer
8148264MedicaidWA

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
I20100630000270 WA Practitioner - Pediatric Medicine 9830220193 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00027591WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
King County Finance CurrentSince Jun 1, 2010 Accepting new patients
King County Finance CurrentSince Jun 1, 2010 Accepting new patients

Locations

14350 SE Eastgate Way
Bellevue, WA 98007
Phone (206) 296-9754

2124 4th Ave
Seattle, WA 98121
Phone (206) 296-4755

401 5th Ave
Ste 1000
Seattle, WA 98104
Phone (206) 263-8298

401 5th Ave
Ste 1200
Seattle, WA 98104
Phone (206) 205-5975

Interoperability endpoints

  • Direct secure messaging: jmarquess119773@direct.ochin.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730258500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17343 NE 129TH ST",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980521299",
            "telephone_number": "425-895-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 SE EASTGATE WAY",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980076458",
            "telephone_number": "206-296-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUESS",
        "first_name": "NANCI",
        "middle_name": "JAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00027591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8148264",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.