Individual provider Active NPI

Jacob Yin, NP

  • Family Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1902684871
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61487552 Issued in WA
Practice address
3801 150TH Ave SE
Bellevue, WA 98006-1668
Phone
(425) 460-7140
Fax
(425) 460-7129
NPI assigned
Sep 20, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61487552 WA Primary
Primary Care Nurse Practitioner 363LP2300X AP61487552 WA

Addresses

Primary practice location

3801 150TH Ave SE
Bellevue, WA 98006-1668

Mailing address

PO Box 34703
Seattle, WA 98124-1703
Phone (253) 681-6626

Other practice location 1

4111 Alderwood Mall Blvd
Lynnwood, WA 98036-6765
Phone (425) 977-2560

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
I20231027002299 WA Practitioner - Nurse Practitioner 4789030610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sea Mar Community Health CentersGroup PAC ID 7315831161, 235 clinicians

Practice addresses (Care Compare)

1811 156TH Ave NE
Suite 2
Bellevue, WA 98007-4344
Phone (425) 460-7125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61487552WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Mar Community Health Centers Family Current Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 3, 2023 Accepting new patients
Sea Mar Community Health Centers CurrentSince Oct 3, 2023 Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients

Locations

3801 150th Ave SE
Bellevue, WA 98006
Phone (425) 460-7140

4111 Alderwood Mall Blvd
Lynnwood, WA 98036
Phone (425) 616-4100

1400 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 428-4075

Interoperability endpoints

  • Direct secure messaging: jyin735241@direct.multicare.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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1902684871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34703",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981241703",
            "telephone_number": "253-681-6626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 150TH AVE SE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061668",
            "telephone_number": "425-460-7140",
            "fax_number": "425-460-7129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4111 Alderwood Mall Blvd",
            "address_purpose": "LOCATION",
            "city": "Lynnwood",
            "state": "WA",
            "postal_code": "980366765",
            "country_code": "US",
            "telephone_number": "425-977-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YIN",
        "first_name": "JACOB",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61487552",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP61487552",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.