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JACOB NETTLETON
NPI 1245659812
Family Medicine in Des Moines, WA

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
26401 PACIFIC HWY S STE 101, DES MOINES, WA 98198(206) 870-3590(206) 824-1670 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2020, Apr 20, 2020 (2 updates tracked since 2020).

About Jacob Nettleton NPPES

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

JACOB NETTLETON (NPI 1245659812) is an individual family medicine provider in Des Moines, Washington, licensed in Washington (MD60775862) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Multicare Auburn Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1245659812
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJACOB NETTLETON
Location Address26401 PACIFIC HWY S STE 101Des Moines, WA 98198-9247
Mailing Address955 Powell Ave SwRenton, WA 98057-2908 · (425) 277-1311
Phone(206) 870-3590
Fax(206) 824-1670
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2014
Enumeration DateApril 10, 2014
Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2025
✔ NPI 1245659812 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 · MD60775862
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
26401 PACIFIC HWY S STE 101, Des Moines, WA 98198
Open in Google Maps ↗

Secondary Practice Location 1

Location 1331 NE Thornton PlSeattle, WA 98125-8021 · Phone (206) 520-2405

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Nettleton is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375860786
PECOS Enrollment IDI20191227000587
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Multicare Auburn Medical Center

Acute Care Hospitals · Auburn, WA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500015
Location202 North Division Street Plaza OneAuburn, WA 98001 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98198 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.

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.

DR. KENDALL C SHIBUYA DO
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (206) 870-3590
JESSICA LU MD
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (425) 277-1311
CRYSTAL JEAN HUA
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (425) 277-1311
DIANE D QI MD
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (206) 870-3590
AMIR REZAYAT MD
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (206) 870-3590
ANN LIN MD
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (206) 870-3590
INJUNE HANSIE WONG M.D.
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (206) 870-3590
MS. ANNA M. MCLUEN M.D.
Family Medicine
26401 PACIFIC HWY S STE 101
DES MOINES, WA 98198
King County (206) 870-3590

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 Jacob Nettleton's NPI number?

The NPI number for Jacob Nettleton is 1245659812. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Jacob Nettleton located?

Jacob Nettleton practices at 26401 Pacific Hwy S Ste 101, Des Moines, WA 98198. The listed phone number is (206) 870-3590.

What is Jacob Nettleton's specialty?

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

Is Jacob Nettleton enrolled in Medicare?

Yes. Jacob Nettleton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Nettleton accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jacob Nettleton 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.

Is Jacob Nettleton affiliated with any hospitals?

According to CMS data, Jacob Nettleton is affiliated with Multicare Auburn Medical Center.

When was this NPI record last updated?

The NPPES record for Jacob Nettleton was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.