Active NPI
Jessica Lujan
- Nurse Practitioner
- Bellevue, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61028203
- Practice address
- 10400 NE 4TH St Ste 2250
Bellevue, WA 98004-5186 - Phone
- (425) 274-1003
- NPI assigned
- Apr 12, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 Nurse Practitioner | 363LF0000X | NP95003950 | CA | |
| Nurse Practitioner | 363L00000X | AP61028203 | 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
1542 Baker St
San Francisco, CA 94115-2909
Phone (907) 723-6557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3260 Hospital Dr
Juneau, AK 99801-7808
3268 Hospital Dr
Suite B
Juneau, AK 99801-7800
Phone (907) 796-8720
Hospital & facility affiliations
- Bartlett Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP95003950 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| One Medical Group, Inc | Current | Accepting new patients | |
| Bartlett Regional Hospital | Current | Accepting new patients | |
| One Medical Group, Inc. | Current | Accepting new patients |
Locations
3268 Hospital Dr
Ste B
Juneau, AK 99801
Phone (907) 586-1717
3260 Hospital Dr
Juneau, AK 99801
Phone (907) 796-8427
350 Bon Air Ctr
Ste 200
Greenbrae, CA 94904
Phone (415) 578-3095
130 Sutter St
Fl 2
San Francisco, CA 94104
Phone (415) 529-4522
559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744
1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111
10400 NE 4th St
Ste 2250
Bellevue, WA 98004
Phone (425) 274-1003
Organizations & group practices 3
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.
-
- Medical Specialty Clinic/Center
- Juneau, AK
- NPI 1477909067
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1467781641
-
- Family Medicine Physician
- Tigard, OR
- NPI 1891521134
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Juneau, AK
- NPI 1891849261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583798400000",
"number": "1992169262",
"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",
"fax_number": "415-520-0904"
},
{
"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": "425-274-1003"
}
],
"practiceLocations": [
{
"address_1": "1542 Baker St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941152909",
"country_code": "US",
"telephone_number": "907-723-6557",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LUJAN",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-12",
"last_updated": "2020-03-10",
"certification_date": "2020-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP95003950",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61028203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.