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JENNIFER BOLNICK M.D.
NPI 1073650693
Family Medicine in Seattle, WA

Active since January 31, 2007PECOS Enrolled
904 7TH AVE, SEATTLE, WA 98104(206) 860-5404(206) 860-2295 Get Directions Write a Review

NPPES record last updated: May 31, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Bolnick M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER BOLNICK M.D. (NPI 1073650693) is an individual family medicine provider in Seattle, Washington, licensed in Washington (MD00027849) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1073650693
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJENNIFER BOLNICKCredential: M.D.
Location Address904 7TH AVESeattle, WA 98104
Mailing AddressPo Box 34584Seattle, WA 98124-1584 · (509) 241-7349 · Fax (509) 241-7316
Phone(206) 860-5404
Fax(206) 860-2295
Sole ProprietorNo
Enumeration DateJanuary 31, 2007
Last NPPES UpdateMay 31, 2018
✔ NPI 1073650693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WA · MD00027849
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License MD00027849 (WA)
904 7TH AVE, Seattle, WA 98104
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Secondary Practice Location 1

Location 1200 15th Ave ESeattle, WA 98112-5260 · Phone (206) 326-3000

Other Identifiers 1

Medicaid8133613WA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Bolnick M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Bolnick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kaiser Foundation Health Plan Of Washington
1.1 mi
Multi-Specialty
320 WESTLAKE AVE. N., SUITE 100
Seattle, WA 98109
  • Reassigned Medicare billing, Washington enrollment
  • 2,678 clinicians in this Medicare group
NPI 1396810701 (206) 448-6561

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers15 claims54 services$5.63 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers29 claims29 services$186.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA MORRISON MD
Dermatology
904 7TH AVE
SEATTLE, WA 98104
King County (206) 860-4691
DR. JOSEPH W DAVIS M.D.
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
King County (206) 860-5574
MANDY WARNER MATTA PA-C
Physician Assistant (Surgical)
904 7TH AVE
SEATTLE, WA 98104
King County (206) 329-1760
ANTONIUS MULIA M.D.
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
King County (206) 329-1760
KATHLEEN MAKIELSKI M.D.
Otolaryngology
904 7TH AVE
SEATTLE, WA 98104
King County (206) 329-1760
DR. XIANGPING REN MD
Physical Medicine & Rehabilitation (Pain Medicine)
904 7TH AVE
SEATTLE, WA 98104
King County (206) 329-1760
ANNA H STEPCZYNSKI M.D.
Internal Medicine
904 7TH AVE
SEATTLE, WA 98104
King County (206) 860-5574
NEHA MITRAGOTRI
Pediatrics
904 7TH AVE
SEATTLE, WA 98104
King County (206) 292-2249

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Bolnick's NPI number?

The NPI number for Jennifer Bolnick is 1073650693. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Jennifer Bolnick located?

Jennifer Bolnick practices at 904 7th Ave, Seattle, WA 98104. The listed phone number is (206) 860-5404.

What is Jennifer Bolnick's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jennifer Bolnick enrolled in Medicare?

Yes. Jennifer Bolnick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Bolnick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Bolnick reassigns Medicare benefits to Kaiser Foundation Health Plan Of Washington (Seattle, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Bolnick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Bolnick was last updated on May 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.