Individual provider Active NPI

Jessica Lee Jajesnica, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1780779827
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30006843 Issued in WA
Practice address
1240 116TH Ave NE
Bellevue, WA 98004-3815
Phone
(425) 333-2723
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP30006843 WA Primary

Addresses

Primary practice location

1240 116TH Ave NE
Bellevue, WA 98004-3815

Mailing address

23046 NE 19TH Dr
Sammamish, WA 98074-6582
Phone (425) 999-0400

Other practice location 1

Fitzsimmons Avenue
Tacoma, WA 98431-0001
Phone (253) 968-3172

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080729000592 WA Practitioner - Nurse Practitioner 9931273638 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lightheart Associates PSGroup PAC ID 2163889981, 45 clinicians
Neurostim TMS, PSGroup PAC ID 1557761608, 11 clinicians

Practice addresses (Care Compare)

7902 168TH Ave NE
Suite 101
Redmond, WA 98052-4445
Phone (425) 996-8592

9116 Gravelly Lake Dr SW
Suite 102
Lakewood, WA 98499-3148
Phone (253) 200-5763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neurostim TMS, PS CurrentSince May 14, 2021 Accepting new patients
Lightheart Associates PS CurrentSince Oct 4, 2023 Accepting new patients
BHC Fairfax Hospital Inc. CurrentSince Jun 27, 2008 Accepting new patients
Dr. Kathleen Worsley PastSince Oct 4, 2023 Accepting new patients
Neurostim TMS Minnesota PC PastSince Sep 8, 2024 Accepting new patients

Locations

1240 116th Ave NE
Ste 102
Bellevue, WA 98004
Phone (206) 250-9014

125 130th St SE
Ste 204
Everett, WA 98208

3450 S 344th Way
Ste 115
Federal Way, WA 98001
Phone (253) 345-1500

33455 6th Ave S
Ste 2C
Federal Way, WA 98003
Phone (253) 210-4230

10200 NE 132nd St
Kirkland, WA 98034
Phone (425) 821-2000

5210 Corporate Center Ct SE
Ste C
Lacey, WA 98503
Phone (360) 208-2765

9125 Bridgeport Way SW
Ste 102
Lakewood, WA 98499
Phone (253) 652-5339

9116 Gravelly Lake Dr SW
Ste 102
Lakewood, WA 98499
Phone (253) 200-5763

450 S Kitsap Blvd
Ste 160
Port Orchard, WA 98366
Phone (360) 616-0543

7902 168th Ave NE
Ste 101
Redmond, WA 98052
Phone (425) 472-2681

8301 161st Ave NE
Ste 202
Redmond, WA 98052
Phone (425) 658-2253

10700 Meridian Ave N
Ste 406
Seattle, WA 98133
Phone (206) 620-1665

2111 N Northgate Way
Ste 216
Seattle, WA 98133
Phone (206) 385-9636

Interoperability endpoints

  • Direct secure messaging: jarens1036824@wm.providencedirect.org
  • Direct secure messaging: neurostimtmscenters.jessicajajesnica@152109.advancedmd-direct.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1780779827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23046 NE 19TH DR",
            "city": "SAMMAMISH",
            "state": "WA",
            "postal_code": "980746582",
            "telephone_number": "425-999-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043815",
            "telephone_number": "425-333-2723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Fitzsimmons Avenue",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984310001",
            "country_code": "US",
            "telephone_number": "253-968-3172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAJESNICA",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30006843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.