JACQUELINE BLANCHE BERGLASS
NPI 1427611102
Family Medicine in Everett, WA

Q: What is Jacqueline Berglass's NPI number?

The NPI number for Jacqueline Berglass is 1427611102. It was assigned to this individual provider in the NPPES registry on April 17, 2019.

Q: What is Jacqueline Berglass's specialty?

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

Active since April 17, 2019PECOS EnrolledAccepts Medicare Assignment

3901 HOYT AVE, EVERETT, WA 98201(425) 339-5456(425) 303-3091 Get Directions Write a Review

NPPES record last updated: July 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2026, Oct 23, 2023, Sep 30, 2022 and 1 more (4 updates tracked since 2019).

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About Jacqueline Blanche Berglass NPPES

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

JACQUELINE BLANCHE BERGLASS (NPI 1427611102) is an individual family medicine provider in Everett, Washington, licensed in Washington (OP61315834) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Swedish Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1427611102

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJACQUELINE BLANCHE BERGLASS

Location Address3901 HOYT AVEEverett, WA 98201-4988

Mailing Address7600 Evergreen WayEverett, WA 98203-6421 · (206) 860-5414

Phone(425) 339-5456

Fax(425) 303-3091

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2019

Enumeration DateApril 17, 2019

Last NPPES UpdateJuly 20, 20264 updates tracked since enumeration

NPPES CertifiedJuly 20, 2026

✔ NPI 1427611102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in WA · OP61315834

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.

3901 HOYT AVE, Everett, WA 98201

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Secondary Practice Location 1

Location 1904 7th AveSeattle, WA 98104-1132 · Phone (206) 329-1760

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Blanche Berglass 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 ID8820323942

PECOS Enrollment IDI20221116001260

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 Reassignments

Medicare enrollment records show Jacqueline Berglass reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optum Care Washington PLLC

Same address

Multi-Specialty

3901 HOYT AVE
Everett, WA 98201

Reassigned Medicare billing, Washington enrollment
1,285 clinicians in this Medicare group

NPI 1831186766 (425) 259-0966

Community Health Center Of Snohomish County

3.3 mi

Federally Qualified Health Center (FQHC)

8609 EVERGREEN WAY
Everett, WA 98208

Reassigned Medicare billing, Washington enrollment
182 clinicians in this Medicare group

NPI 1730136367 (425) 789-1000

The Polyclinic PLLC

25 mi

Audiologist

1145 BROADWAY
Seattle, WA 98122

Reassigned Medicare billing, Washington enrollment
911 clinicians in this Medicare group

NPI 1174594634 (206) 329-1760

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

72 services44 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

43 services33 patients

Blood test, lipids (cholesterol and triglycerides) 80061

A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.

22 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

19 services16 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

13 services13 patients

Hospital Affiliations CMS Care Compare

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

Swedish Medical Center

Acute Care Hospitals · Seattle, WA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number500027

Location747 BroadwaySeattle, WA 98122 · King County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98201 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

KELVIN KARL YU WONG M.D.

Family Medicine