Active NPI
Jaqueline GM Raetz, MD
- Geriatric Medicine (Family Medicine) Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Family Medicine) Physician
- License
- MD00042941
- Practice address
- 1455 NW Leary Way Ste 145
Seattle, WA 98107-5124 - Phone
- (206) 520-5000
- NPI assigned
- Oct 27, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00042941 | WA | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | MD00042941 | WA | |
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X | MD00042941 | WA | Primary |
Addresses
Primary practice location
1455 NW Leary Way Ste 145
Seattle, WA 98107-5124
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 543-6420
Other practice location 1
325 9th Ave
Seattle, WA 98104-2420
Phone (206) 520-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881770535 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jraetz@uw.edu | Direct | Harborview Medical Center |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Duke University School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1550 N 115TH St
Seattle, WA 98133-8401
Phone (206) 364-0500
1570 N 115TH St
Seattle, WA 98133-8401
Phone (206) 306-2800
1701 Columbia Rd
Seattle, WA 98195-0001
Phone (206) 598-3100
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333
401 Broadway
Seattle, WA 98122-7302
Phone (206) 744-9350
Hospital & facility affiliations
Merit-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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00042941 | WA | MD | Geriatric Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Washington | Current | Accepting new patients | |
| University of Washington | Current | Accepting new patients | |
| Harborview Medical Center | Current | Accepting new patients | |
| The Association of University Physicians | Family Medicine | Current | Accepting new patients |
| Neighborcare Health | Current | Accepting new patients | |
| University of Washington | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Neighborcare Health | Current | Accepting new patients | |
| Harborview Medical Center | Current | Accepting new patients | |
| Caroline Kline Galland Home | Past | Accepting new patients |
Locations
345 6th St
Ste 300
Bremerton, WA 98337
Phone (360) 337-5235
4245 Roosevelt Way NE
Seattle, WA 98105
Phone (206) 598-4055
1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350
325 9th Ave
Seattle, WA 98104
Phone (206) 731-3000
4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950
12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326
9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981
501 Eastlake Ave E
Ste 300
Seattle, WA 98109
Phone (206) 598-4025
4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 221-1700
Interoperability endpoints
- jraetz75837@direct.ehre.uwmedicine.org
Organizations & group practices 10
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.
-
dba University of Washington Physicians
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Family Medicine
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1053359729
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1578593562
-
dba University of Washington Medical Center
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1568557312
-
dba Neighborcare Health at Lincoln High School
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1275187429
-
dba Neighborcare Health at 45th Street
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1285664227
-
dba University of Washington Medical Center Ambulatory
- Community/Retail Pharmacy
- Seattle, WA
- NPI 1013950336
-
dba University of Washington Medical Center
- Infusion Therapy Clinic/Center
- Seattle, WA
- NPI 1497117592
-
- Skilled Nursing Facility
- Seattle, WA
- NPI 1407863475
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1053359729
-
dba University of Washington Medical Center
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161907200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1881770535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-543-6420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 NW LEARY WAY STE 145",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981075124",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [
{
"address_1": "325 9th Ave",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981042420",
"country_code": "US",
"telephone_number": "206-520-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAETZ",
"first_name": "JAQUELINE",
"middle_name": "GM",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-27",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00042941",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "WA",
"license": "MD00042941",
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "",
"desc": "Family Medicine, Geriatric Medicine",
"state": "WA",
"license": "MD00042941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1881770535",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jraetz@uw.edu",
"affiliation": "Y",
"endpointDescription": "Email Address",
"affiliationName": "Harborview Medical Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "325 9th Ave",
"city": "Seattle",
"state": "WA",
"country_code": "US",
"postal_code": "981042420",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 18, 2023; 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.