Individual provider Active NPI

Jennifer Fesinmeyer, MS, NNP-BC, RN

  • Critical Care Neonatal Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1992975569
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
60264769 Issued in WA
Practice address
1959 NE Pacific St
Box #356077
Seattle, WA 98195-6077
Phone
(206) 598-4606
NPI assigned
Mar 10, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Intensive Care Registered Nurse 163WN0002X RN113825 AZ
Critical Care Neonatal Nurse Practitioner 363LN0005X AP3055 AZ
Neonatal Intensive Care Registered Nurse 163WN0002X 60264767 WA
Critical Care Neonatal Nurse Practitioner 363LN0005X 60264769 WA Primary

Addresses

Primary practice location

1959 NE Pacific St
Box #356077
Seattle, WA 98195-6077

Mailing address

1959 NE Pacific St
Box #356077
Seattle, WA 98195-6077
Phone (206) 598-4606

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
I20120330000086 WA Practitioner - Nurse Practitioner 4981864857 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN113825AZMDNeonatal Intensive Care Registered Nurse
60264767WAMDNeonatal Intensive Care Registered Nurse
AP3055AZMDCritical Care Neonatal Nurse Practitioner
60264769WAMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Washington CurrentSince May 1, 2012 Accepting new patients
The Association of University Physicians CurrentSince Jul 1, 2013 Accepting new patients
University of Washington CurrentSince May 1, 2012 Accepting new patients

Locations

4333 Brooklyn Ave NE
Seattle, WA 98195
Phone (206) 221-1700

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

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.

NPI Registry JSON

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

{
    "created_epoch": "1205107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1992975569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "BOX #356077",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956077",
            "telephone_number": "206-598-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "address_2": "BOX #356077",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956077",
            "telephone_number": "206-598-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FESINMEYER",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "MS, NNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-10",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "AZ",
            "license": "RN113825",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "AZ",
            "license": "AP3055",
            "primary": false
        },
        {
            "code": "163WN0002X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neonatal Intensive Care",
            "state": "WA",
            "license": "60264767",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "WA",
            "license": "60264769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.