Individual provider Active NPI

Jacqueline S Osland, MD

  • Surgery Physician
  • Bainbridge Island, WA
National Provider Identifier
1750388559
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
60650955 Issued in WA
Practice address
271 Wyatt Way NE Ste 102
Bainbridge Island, WA 98110-2873
Phone
(206) 488-1222
Fax
(206) 826-1995
NPI assigned
Jul 7, 2005
Last updated
Sep 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 60650955 WA Primary

Addresses

Primary practice location

271 Wyatt Way NE Ste 102
Bainbridge Island, WA 98110-2873

Mailing address

7254 Madrona Dr NE
Bainbridge Island, WA 98110-1902
Phone (206) 488-1222

Other names 1

  • Jackie Osland Other name

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
I20160831002218 WA Practitioner - General Surgery 0143262097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of North Dakota School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

390 Founders Way
Forks, WA 98331-9062
Phone (360) 374-6998

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clallam County Public Hospital District No 1 Current Accepting new patients
Clallam County Public Hospital District No 1 CurrentSince Nov 1, 2020 Accepting new patients
Clallam County Public Hospital District No 1 Current Accepting new patients
Sound Menopause PLLC Current Accepting new patients
Clallam County Public Hospital District No 1 Current Accepting new patients
Ascension Via Christi Hospitals Wichita Inc. Past Accepting new patients

Locations

390 Founders Way
Forks, WA 98331
Phone (360) 374-6271

530 Bogachiel Way
Forks, WA 98331
Phone (360) 374-5011

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/forkshospital/r4/
  • Direct secure messaging: josland777537@direct.multicare.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1750388559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7254 MADRONA DR NE",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981101902",
            "telephone_number": "206-488-1222",
            "fax_number": "206-826-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "271 WYATT WAY NE STE 102",
            "city": "BAINBRIDGE ISLAND",
            "state": "WA",
            "postal_code": "981102873",
            "telephone_number": "206-488-1222",
            "fax_number": "206-826-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSLAND",
        "first_name": "JACQUELINE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "60650955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKIE",
            "last_name": "OSLAND",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bainbridge Island, WA

Sources for this page

Verify at the official NPI Registry.