Active NPI
Kjersten Gmeiner, M.D.
- Family Medicine Physician
- Everett, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00039154
- Practice address
- 3927 Rucker Ave
Everett, WA 98201-4833 - Phone
- (206) 860-5414
- NPI assigned
- Jan 18, 2007
- Last updated
- Jun 16, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00039154 | WA | Primary |
| Family Medicine Physician | 207Q00000X | C53440 | CA |
Addresses
Primary practice location
3927 Rucker Ave
Everett, WA 98201-4833
Mailing address
7600 Evergreen Way
Everett, WA 98203-6421
Phone (206) 860-5414
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 332441 | Other | WA | STATE L&I |
| 8275638 | Medicaid | WA |
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
- University of Minnesota Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 N 175TH St
Shoreline, WA 98133-5064
Phone (425) 339-4299
1330 Rockefeller Ave
Everett, WA 98201-1684
Phone (425) 259-0966
1818 121St St SE
Everett, WA 98208-5985
Phone (425) 357-3300
3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5442
3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966
4410 106TH St SW
Mukilteo, WA 98275-4700
Phone (425) 493-6000
4420 76TH St NE
Marysville, WA 98270-3726
Phone (360) 651-7490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Care Washington PLLC | Family Medicine | Current | Accepting new patients |
| Optum Care Washington PLLC | Family Medicine | Current | Accepting new patients |
| Fremont Family Practice LLC | Family Medicine | Current | Accepting new patients |
| Eric Dunlop, DO, Inc. | Family Medicine | Past | Accepting new patients |
| Optum Care Washington PLLC | Past | Accepting new patients | |
| Franciscan Medical Group | Past | Accepting new patients | |
| Central Rehabilitation Clinic Inc | Past | Accepting new patients |
Locations
1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903
3927 Rucker Ave
Everett, WA 98201
Phone (425) 339-5419
3927 Rucker Ave
Ste 202
Everett, WA 98201
4464 Fremont Ave N
Ste 103
Seattle, WA 98103
Phone (206) 267-7300
1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299
Interoperability endpoints
- kgmeiner14737@direct.tecmc.com
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.
-
- Family Medicine Physician
- Seattle, WA
- NPI 1871640581
-
- Durable Medical Equipment & Medical Supplies
- Marysville, WA
- NPI 1194428425
Family Medicine
-
dba FMG - Franciscan Neurology - Federal Way
- Neurological Surgery Physician
- Federal Way, WA
- NPI 1386857530
-
- Ambulatory Surgical Clinic/Center
- Everett, WA
- NPI 1154318103
-
- Internal Medicine Physician
- San Luis Obispo, CA
- NPI 1811929417
-
- Family Medicine Physician
- San Luis Obispo, CA
- NPI 1124478243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781568000000",
"number": "1922151612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 EVERGREEN WAY",
"city": "EVERETT",
"state": "WA",
"postal_code": "982036421",
"telephone_number": "206-860-5414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3927 RUCKER AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982014833",
"telephone_number": "206-860-5414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GMEINER",
"first_name": "KJERSTEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-18",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00039154",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "C53440",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE L&I",
"identifier": "332441",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8275638",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; 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.