Individual provider Active NPI

Jesse C Taylor, FNP-BC

  • Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1871944538
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61066254 Issued in WA
Practice address
10400 NE 4TH St Ste 2250
Bellevue, WA 98004-5186
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Jun 23, 2016
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1025305 DC
Family Nurse Practitioner 363LF0000X 202210760NP-PP OR
Nurse Practitioner 363L00000X AP61066254 WA Primary

Addresses

Primary practice location

10400 NE 4TH St Ste 2250
Bellevue, WA 98004-5186

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

3828 17th Pl NE
Washington, DC 20018-2314
Phone (928) 300-5811

Other practice location 2

3901 Hoyt Ave
Everett, WA 98201-4988
Phone (425) 339-5456

Other practice location 3

1122 NW Everett St
Portland, OR 97209-2915
Phone (888) 663-6331

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
I20200814001744 WA Practitioner - Nurse Practitioner 9739462060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

10400 NE 4TH St
Suite 2250
Bellevue, WA 98004-5186
Phone (888) 663-6331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1025305DCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
One Medical Group, Inc. CurrentSince Sep 1, 2024 Accepting new patients
One Medical Group, Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

1122 NW Everett St
Portland, OR 97209
Phone (503) 342-2520

10400 NE 4th St
Ste 2250
Bellevue, WA 98004
Phone (425) 274-1003

1600 7th Ave
Ste 110
Seattle, WA 98101
Phone (206) 267-4390

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, 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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1871944538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 NE 4TH ST STE 2250",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045186",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3828 17th Pl NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200182314",
            "country_code": "US",
            "telephone_number": "928-300-5811",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3901 Hoyt Ave",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014988",
            "country_code": "US",
            "telephone_number": "425-339-5456",
            "fax_number": "425-303-3091",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1122 NW Everett St",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972092915",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "JESSE",
        "middle_name": "C",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1025305",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "202210760NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61066254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.