Individual provider Active NPI

Michael Thomas Jennings, M.D.

  • Obstetrics & Gynecology Physician
  • Port Angeles, WA
National Provider Identifier
1811516354
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A187121 Issued in CA
Practice address
433 E 8TH St
Port Angeles, WA 98362-6219
Phone
(360) 565-0999
Fax
(360) 452-7303
NPI assigned
Apr 14, 2020
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD61564123 WA
Obstetrics & Gynecology Physician 207V00000X A187121 CA Primary

Addresses

Primary practice location

433 E 8TH St
Port Angeles, WA 98362-6219

Mailing address

PO Box 850
Port Angeles, WA 98362-0146
Phone (360) 565-0999

Other names 1

  • Katherine Jennings Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240726003204 WA Practitioner - Obstetrics/Gynecology 7810433778 Reassigns benefits to 1 organization
I20250326000189 CA Practitioner - Obstetrics/Gynecology 7810433778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympic Medical PhysiciansGroup PAC ID 9537172358, 106 clinicians

Practice addresses (Care Compare)

433 E 8TH St
Port Angeles, WA 98362-6219
Phone (360) 565-0999

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Olympic Medical Physicians Obstetrics & Gynecology CurrentSince Aug 12, 2024 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Clallam County Public Hospital District 2 Past Accepting new patients

Locations

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

2725 Capitol Ave
Dept 304
Sacramento, CA 95816
Phone (916) 262-9414

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

433 E 8th St
Port Angeles, WA 98362
Phone (360) 452-3373

939 Caroline St
#3E
Port Angeles, WA 98362
Phone (360) 565-0599

Interoperability endpoints

  • Direct secure messaging: mjennings688408@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1586822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1811516354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983620146",
            "telephone_number": "360-565-0999",
            "fax_number": "360-452-7303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E 8TH ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983626219",
            "telephone_number": "360-565-0999",
            "fax_number": "360-452-7303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENNINGS",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-14",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WA",
            "license": "MD61564123",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A187121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "JENNINGS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.