Active NPI
Elise Jensen Simons, MD
- Gynecologic Oncology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- MD.MD.60664422
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
Practice addresses (Care Compare)
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333
Hospital & facility affiliations
- University of Washington Medical Ctr
- Olympic Medical Center
- Fred Hutchinson Cancer Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 24 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.MD.60664422 | WA | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Obstetrics & Gynecology | Current | Accepting new patients |
| Valley Medical Group-Renton | Current | 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
- 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.
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Renton, WA
- NPI 1619209574
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Angeles, WA
- NPI 1306845557
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1164493847
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.