Individual provider Active NPI

Jessett Tyler Pocuis, DNP, ARNP

  • Adult Health Nurse Practitioner
  • Bremerton, WA
National Provider Identifier
1790174142
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP60514699 Issued in WA
Practice address
2601 Cherry Ave Ste 200
Bremerton, WA 98310-4208
Phone
(360) 415-9110
NPI assigned
Jan 22, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP60514699 WA Primary

Addresses

Primary practice location

2601 Cherry Ave Ste 200
Bremerton, WA 98310-4208

Mailing address

2601 Cherry Ave Ste 200
Bremerton, WA 98310-4208
Phone (360) 415-9110

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
I20150602001599 WA Practitioner - Nurse Practitioner 0244551315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sound Pain AllianceGroup PAC ID 0941565162, 43 clinicians

Practice addresses (Care Compare)

11306 Bridgeport Way SW
Lakewood, WA 98499-3037
Phone (253) 983-9390

4029 Northwest Ave
Bellingham, WA 98226-9077

9220 Ridgetop Blvd NW
Silverdale, WA 98383-8583
Phone (360) 415-9110

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072
  • Jefferson Healthcare Hospital, Port Townsend, WA, CCN 501323

Merit-based Incentive Payment System (MIPS)

Final score
71.86 of 100Reported as group
Quality
61.97
Promoting interoperability
67
Improvement activities
40
Cost
71.75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Pain Alliance CurrentSince Jan 2, 2017 Accepting new patients
Sound Pain Alliance CurrentSince Jun 1, 2018 Accepting new patients
Sound Pain Alliance Current Accepting new patients
Sound Pain Alliance CurrentSince Jun 1, 2018 Accepting new patients
Sound Pain Alliance Past Accepting new patients

Locations

4029 Northwest Ave
Ste 301
Bellingham, WA 98226
Phone (360) 526-8685

2601 Cherry Ave
Ste 200
Bremerton, WA 98310
Phone (360) 415-9110

11306 Bridgeport Way SW
Ste D
Lakewood, WA 98499
Phone (253) 581-7000

9220 Ridgetop Blvd NW
Ste 200
Silverdale, WA 98383
Phone (360) 415-9110

7200 S 180th St
Ste 102
Tukwila, WA 98188

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1421884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1790174142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE STE 200",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104208",
            "telephone_number": "360-415-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE STE 200",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104208",
            "telephone_number": "360-415-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POCUIS",
        "first_name": "JESSETT",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DNP, ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-22",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP60514699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.