Individual provider Active NPI

Elise Jensen Simons, MD

  • Gynecologic Oncology Physician
  • Seattle, WA
National Provider Identifier
1760692198
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
MD.MD.60664422 Issued in WA
Practice address
1560 N 115TH St Ste 101
Seattle, WA 98133-8414
Phone
(206) 368-6806
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A116465 CA
Gynecologic Oncology Physician 207VX0201X MD.MD.60664422 WA Primary

Addresses

Primary practice location

1560 N 115TH St Ste 101
Seattle, WA 98133-8414

Mailing address

1560 N 115TH St Ste 101
Seattle, WA 98133-8414

Other practice location 1

3915 Talbot Rd S Ste 300
Renton, WA 98055-5738
Phone (425) 690-3409

Other names 1

  • Elise Marie Jensen Former 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
I20160722001983 WA Practitioner - Gynecological Oncology 6406034503 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of Washington School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Association of University PhysiciansGroup PAC ID 0446162697, 3,484 clinicians

Practice addresses (Care Compare)

1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333

Hospital & facility affiliations

  • University of Washington Medical Ctr Hospital, Seattle, WA, CCN 500008
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072
  • Fred Hutchinson Cancer Center Hospital, Seattle, WA, CCN 500138

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.MD.60664422WAMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Association of University Physicians Obstetrics & Gynecology CurrentSince Jun 17, 2019 Accepting new patients
Valley Medical Group-Renton CurrentSince Nov 6, 2023 Accepting new patients
University of Washington Past Accepting new patients

Locations

16850 SE 272nd St
Ste 100
Covington, WA 98042
Phone (253) 395-1971

3915 Talbot Rd S
Ste 300
Renton, WA 98055
Phone (425) 656-5570

1455 NW Leary Way
Ste 350
Seattle, WA 98107
Phone (206) 782-3383

1560 N 115th St
Ste 101
Seattle, WA 98133
Phone (206) 368-6806

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

1550 N 115th St
Shoreline, WA 98133
Phone (206) 364-0500

Interoperability endpoints

  • Direct secure messaging: esimons468971@direct.ehre.uwmedicine.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1760692198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 N 115TH ST STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 N 115TH ST STE 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981338414",
            "telephone_number": "206-368-6806"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3915 Talbot Rd S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980555738",
            "country_code": "US",
            "telephone_number": "425-690-3409",
            "fax_number": "425-690-9004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMONS",
        "first_name": "ELISE",
        "middle_name": "JENSEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A116465",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "WA",
            "license": "MD.MD.60664422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELISE",
            "last_name": "JENSEN",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.