NPIMap

Individual provider Active NPI

Justin D Penn, M.D.

  • Cardiovascular Disease Physician
  • Silverdale, WA
National Provider Identifier
1770755985
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD60544826 Issued in WA
Practice address
1950 NW Myhre Rd FL 3
Silverdale, WA 98383-7662
Phone
(564) 240-4200
Fax
(564) 240-4299
NPI assigned
Mar 27, 2008
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 256268 NY
Internal Medicine Physician 207R00000X 054224 CO
Cardiovascular Disease Physician 207RC0000X MD60544826 WA Primary
Hospitalist Physician 208M00000X 256268 NY

Addresses

Primary practice location

1950 NW Myhre Rd FL 3
Silverdale, WA 98383-7662

Mailing address

1950 NW Myhre Rd FL 3
Silverdale, WA 98383-7662
Phone (564) 240-4200

Other identifiers 3

IdentifierTypeStateIssuer
2044356MedicaidWA
94509719MedicaidCO
024975OtherCOKAISER COMMERCIAL NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jpenn120072@fhsce.catholichealth.net Direct Franciscan Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150609000307 WA Practitioner - Cardiovascular Disease (Cardiology) 1658558358 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Washington School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virginia Mason Medical CenterGroup PAC ID 9830002617, 867 clinicians
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

1344 Wintergreen LN NE
Bainbridge Island, WA 98110-5118
Phone (206) 842-5632

1800 NW Myhre Rd
Silverdale, WA 98383-7663
Phone (564) 240-1000

1812 S J St
Suite 120
Tacoma, WA 98405-4965
Phone (253) 428-2200

22180 Olympic College Way NW
Suite 102
Poulsbo, WA 98370-6664
Phone (360) 779-4444

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
054224COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Clallam County Public Hospital District No 1 CurrentSince Dec 12, 2022 Accepting new patients
Clallam County Public Hospital District No 1 CurrentSince Dec 12, 2022 Accepting new patients
Clallam County Public Hospital District No 1 Current Accepting new patients
Pacific County Hospital District 2 CurrentSince Apr 26, 2016 Accepting new patients
Franciscan Medical Group Internal Medicine CurrentSince Jul 2, 2017 Accepting new patients
Virginia Mason Medical Center Internal Medicine CurrentSince Nov 3, 2025 Accepting new patients
Pacific County Hospital District 2 CurrentSince Apr 26, 2016 Accepting new patients
Virginia Mason Medical Center Cardiovascular Disease CurrentSince Nov 3, 2025 Accepting new patients
Franciscan Medical Group CurrentSince Jul 2, 2017 Accepting new patients
Clallam County Public Hospital District No 1 Current Accepting new patients
Jefferson County Public Hospital District No 2 Past Accepting new patients
Franciscan Medical Group Past Accepting new patients
Harrison Medical Center Past Accepting new patients

Locations

1344 Wintergreen Ln NE
Bainbridge Island, WA 98110
Phone (206) 842-5632

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

2520 Cherry Ave
Bremerton, WA 98310
Phone (360) 377-3911

2709 Hemlock St
Bremerton, WA 98310
Phone (360) 782-6000

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

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

1100 9th Ave
Seattle, WA 98101
Phone (206) 223-6980

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

1950 NW Myhre Rd
Silverdale, WA 98383
Phone (560) 240-4000

1950 NW Myhre Rd
Fl 3
Silverdale, WA 98383
Phone (564) 240-4200

9633 Levin Rd NW
Ste 103
Silverdale, WA 98383
Phone (360) 337-8200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/forkshospital/r4/
  • Direct secure messaging: jpenn120072@fhsce.catholichealth.net

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1770755985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 NW MYHRE RD FL 3",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837662",
            "telephone_number": "564-240-4200",
            "fax_number": "564-240-4299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 NW MYHRE RD FL 3",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983837662",
            "telephone_number": "564-240-4200",
            "fax_number": "564-240-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "JUSTIN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-27",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "256268",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "054224",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD60544826",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "256268",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2044356",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "94509719",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "024975",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jpenn120072@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1950 NW Myhre Rd Fl 3",
            "city": "Silverdale",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983837662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Silverdale, WA

Sources for this page

Verify at the official NPI Registry.