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JEFFERSON UROLOGY CLINIC
NPI 1174917033
Urology in Port Townsend, WA

Active since March 27, 2015
1274 7TH ST STE B, PORT TOWNSEND, WA 98368(360) 385-2905(360) 385-6796 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 29, 2020, Dec 17, 2018 (2 updates tracked since 2018).

About Jefferson Urology Clinic NPPES

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

JEFFERSON UROLOGY CLINIC (NPI 1174917033) is a healthcare organization registered as an urology in Port Townsend, Washington and active in the NPI registry since March 2015. The organization lists Mike Glenn, Ceo, as its authorized official.

NPPES Registry Identity

NPI1174917033
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameJEFFERSON COUNTY PUBLIC HOSPITAL DISTRICT NO 2
Location Address1274 7TH ST STE BPort Townsend, WA 98368-2404
Mailing Address834 Sheridan StPort Townsend, WA 98368-2443 · (360) 385-2200 · Fax (360) 379-2256
Phone(360) 385-2905
Fax(360) 385-6796
Organization SubpartNo
Authorized OfficialMike GlennCeo · (360) 385-2200
Enumeration DateMarch 27, 2015
Last NPPES UpdateOctober 29, 20202 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1174917033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in WA · HAC.FS.00000085
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1274 7TH ST STE B, Port Townsend, WA 98368
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Other Names 2

Doing Business AsJefferson Urology Clinic
Doing Business AsJefferson Healthcare Urology Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jefferson Urology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

206

Medicare enrollment records show 206 clinicians reassign Medicare billing to Jefferson Urology Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 66 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Diagnostic Radiology42
Nurse Practitioner32
Internal Medicine22
Family Practice20
Emergency Medicine19
Certified Registered Nurse Anesthetist (CRNA)8
Hematology/Oncology8
Clinical Social Worker5
21 other specialties50

Nearest to this location (20)

See all 206
Macie Booker, APRN
Nurse Practitioner
NPI 1033708920
1274 7TH ST STE A
Port Townsend, WA 98368
(360) 385-2204
✔ PECOS✔ Accepts MedicareSame address
Dimitri Kuznetsov, MD
Urology
NPI 1659473825
1274 7TH ST SUITE B
Port Townsend, WA 98368
(360) 385-2905
✔ PECOS✔ Accepts MedicareSame address
Heide Chaney, ARNP
Nurse Practitioner
NPI 1215439989
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 344-1001
✔ PECOS0.1 mi
Judith Gayne, M.D.
Internal Medicine
NPI 1881823375
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 385-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Jeremy Idjadi, MD
Orthopedic Surgery
NPI 1578659264
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 344-0400
✔ PECOS✔ Accepts Medicare0.1 mi
Alexander Pratt, M.D.
Hospitalist
NPI 1740609106
834 SHERIDAN ST.
Port Townsend, WA 98368
(360) 385-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Christine Skorberg, MD
Obstetrics/Gynecology
NPI 1073574620
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 385-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Frank Torres, M.D.
Cardiovascular Disease (Cardiology)
NPI 1235243825
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 344-1001
✔ PECOS✔ Accepts Medicare0.1 mi
Tracie Harris, M.D.
Internal Medicine
NPI 1184608366
854 SHERIDAN
Port Townsend, WA 98368
(360) 385-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Katherine Biccum, D.O.
Family Practice
NPI 1407236912
915 SHERIDAN ST
Port Townsend, WA 98368
(360) 379-8031
✔ PECOS✔ Accepts Medicare0.1 mi
Kory Albert, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1326148859
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 385-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Mark Cherniack, MSW
Clinical Social Worker
NPI 1982093472
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 385-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Kevin Chong, M.D.
Pulmonary Disease
NPI 1962706564
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 344-0411
✔ PECOS✔ Accepts Medicare0.1 mi
Olivia Haesloop, MD
Emergency Medicine
NPI 1386910420
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 385-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Joseph Meyerson
Plastic and Reconstructive Surgery
NPI 1588919617
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 379-2289
✔ PECOS✔ Accepts Medicare0.1 mi
Fletcher Moore, MD
Diagnostic Radiology
NPI 1851778674
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 385-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Sabrina Prime, MD
Radiation Oncology
NPI 1245851484
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 385-2200
✔ PECOS✔ Accepts Medicare0.1 mi
Kelly Ramirez, MD
Neurology
NPI 1295170116
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 774-8125
✔ PECOS✔ Accepts Medicare0.1 mi
Jason Suh, MD
Hematology/Oncology
NPI 1225024722
834 SHERIDAN ST
Port Townsend, WA 98368
(360) 344-3091
✔ PECOS✔ Accepts Medicare0.1 mi
Caitlin Lund, DO
General Surgery
NPI 1649790403
1010 SHERIDAN ST STE 201
Port Townsend, WA 98368
(360) 385-5444
✔ PECOS✔ Accepts Medicare0.2 mi
See all 206 clinicians

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

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 Jefferson County Public Hospital District No 2's NPI number?

The NPI number for Jefferson County Public Hospital District No 2 is 1174917033. It was assigned to this organization in the NPPES registry on March 27, 2015. The provider is doing business as Jefferson Urology Clinic and Jefferson Healthcare Urology Clinic.

Where is Jefferson County Public Hospital District No 2 located?

Jefferson County Public Hospital District No 2 is located at 1274 7th St Ste B, Port Townsend, WA 98368. The listed phone number is (360) 385-2905.

What is Jefferson County Public Hospital District No 2's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jefferson County Public Hospital District No 2 enrolled in Medicare?

Yes. Jefferson County Public Hospital District No 2 is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jefferson County Public Hospital District No 2?

According to the CMS Revalidation Reassignment List (October 2026 release), 206 clinicians in 29 Medicare specialties reassign their Medicare billing to Jefferson County Public Hospital District No 2. A 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 the clinician's services. The largest specialties are Diagnostic Radiology (42), Nurse Practitioner (32) and Internal Medicine (22). Of these, 2 practice at this address and 66 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Jefferson County Public Hospital District No 2 accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Jefferson County Public Hospital District No 2 as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jefferson County Public Hospital District No 2 was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.