NPIMap

Individual provider Active NPI

Jonathan R Amkraut, MD

  • Family Medicine Physician
  • Bremerton, WA
National Provider Identifier
1851881932
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD61099836 Issued in WA
Practice address
2601 Cherry Ave Ste 315
Bremerton, WA 98310-4201
Phone
(360) 479-2360
Fax
(360) 479-4038
NPI assigned
May 15, 2018
Last updated
Sep 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD61099836 WA Primary

Addresses

Primary practice location

2601 Cherry Ave Ste 315
Bremerton, WA 98310-4201

Mailing address

2601 Cherry Ave Ste 315
Bremerton, WA 98310-4201
Phone (360) 479-2360

Other identifiers 1

IdentifierTypeStateIssuer
2160202MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jamkraut285048@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
I20210825004188 WA Practitioner - Family Practice 8921342866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

2601 Cherry Ave
Suite 315
Bremerton, WA 98310-4201
Phone (360) 405-7900

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Family Medicine CurrentSince Aug 8, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC Family Medicine CurrentSince Jan 1, 2022 Accepting new patients
Franciscan Medical Group CurrentSince Aug 8, 2021 Accepting new patients
Cogent Healthcare of Washington, PC Family Medicine CurrentSince Oct 15, 2022 Accepting new patients
Franciscan Medical Group Family Medicine Past Accepting new patients

Locations

2512 Wheaton Way
Ste B
Bremerton, WA 98310
Phone (360) 782-5700

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

2601 Cherry Ave
Ste 315
Bremerton, WA 98310
Phone (360) 377-8571

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

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

Organizations & group practices 7

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 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": "1526342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1851881932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE STE 315",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104201",
            "telephone_number": "360-479-2360",
            "fax_number": "360-479-4038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 CHERRY AVE STE 315",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983104201",
            "telephone_number": "360-479-2360",
            "fax_number": "360-479-4038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMKRAUT",
        "first_name": "JONATHAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-15",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD61099836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2160202",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jamkraut285048@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2601 Cherry Ave Ste 315",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983104201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.