Active NPI
Jenna M Buller Nofziger, ARNP
- Family Nurse Practitioner
- Seattle, WA
National Provider Identifier
1801311865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60781225
- Practice address
- 3815 S Othello St
Seattle, WA 98118-3510 - Phone
- (206) 788-3500
- Fax
- (206) 788-3521
- NPI assigned
- Aug 10, 2017
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN60392632 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP60781225 | WA | Primary |
Addresses
Primary practice location
3815 S Othello St
Seattle, WA 98118-3510
Mailing address
4313 S Webster St Unit B
Seattle, WA 98118-4156
Phone (419) 306-6707
Other names 1
- Jenna M Buller Nofziger
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 74.6
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN60392632 | WA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Association of University Physicians | Current | Accepting new patients | |
| International Community Health Services | Past | Accepting new patients |
Locations
4245 Roosevelt Way NE
Fl 4
Seattle, WA 98105
Phone (206) 598-4070
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
Interoperability endpoints
- jbullernofziger330534@direct.ehre.uwmedicine.org
Organizations & group practices 2
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
-
- Case Management Agency
- Seattle, WA
- NPI 1871110452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505347200000",
"number": "1801311865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4313 S WEBSTER ST UNIT B",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981184156",
"telephone_number": "419-306-6707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3815 S OTHELLO ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981183510",
"telephone_number": "206-788-3500",
"fax_number": "206-788-3521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BULLER NOFZIGER",
"first_name": "JENNA",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-10",
"last_updated": "2017-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN60392632",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60781225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNA",
"last_name": "BULLER NOFZIGER",
"middle_name": "M",
"credential": "ARNP",
"code": "2",
"type": "Professional 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 Sep 14, 2017; 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.