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MRS. JACLYN CHRISTINE OMURA M.D
NPI 1609213560
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Seattle, WA

Active since May 31, 2013PECOS EnrolledAccepts Medicare Assignment
4800 SAND POINT WAY NE, SEATTLE, WA 98105(206) 987-2850 Get Directions Write a Review

NPPES record last updated: July 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 18, 2019, Mar 6, 2019 (2 updates tracked since 2019).

About Mrs. Jaclyn Christine Omura M.d NPPES

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

MRS. JACLYN CHRISTINE OMURA M.D (NPI 1609213560) is an individual pediatric rehabilitation medicine provider in Seattle, Washington, licensed in Washington (MD60584257) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2013).

NPPES Registry Identity

NPI1609213560
Entity TypeIndividualFemale
Primary Taxonomy2081P0010X
Provider Legal NameMRS. JACLYN CHRISTINE OMURACredential: M.D
Location Address4800 SAND POINT WAY NESeattle, WA 98105
Mailing AddressPo Box 5371, Od 8 410Seattle, WA 98105 · (206) 987-2850 · Fax (206) 987-2651
Phone(206) 987-2850
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2013
Enumeration DateMay 31, 2013
Last NPPES UpdateJuly 18, 20192 updates tracked since enumeration
✔ NPI 1609213560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
License✔ Licensed in WA · MD60584257
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
4800 SAND POINT WAY NE, Seattle, WA 98105
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Other Names 1

Former Name (1)Ms. Jaclyn Christine Russell M.d.

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

Mrs. Jaclyn Christine Omura M.d 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 ID42535940
PECOS Enrollment IDI20200318000160
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.

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.

NALINI MALARKKAN MD
Anesthesiology
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2728
MS. LINDA E EBLEN MA
Speech-Language Pathologist
4800 SAND POINT WAY NE, MAIL STOP W-6839
SEATTLE, WA 98105
King County (206) 987-6164
DR. JAMES TOLIVER BENNETT JR. M.D., PH.D.
Medical Genetics (Clinical Molecular Genetics)
4800 SAND POINT WAY NE, GENETIC MEDICINE
SEATTLE, WA 98105
King County (206) 987-2056
DR. LESLIE ANN DERVAN MD
Pediatrics (Pediatric Critical Care Medicine)
4800 SAND POINT WAY NE, MB.10.620
SEATTLE, WA 98105
King County (206) 987-0293
DR. INDI TREHAN MD
Pediatrics (Pediatric Infectious Diseases)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2000
MS. JENNIFER PATANO CNP
Nurse Practitioner (Pediatrics)
4800 SAND POINT WAY NE, MS O.7.720
SEATTLE, WA 98105
King County (206) 987-8949
MRS. SUSAN L HOLTZCLAW ARNP
Nurse Practitioner (Family)
4800 SAND POINT WAY NE, MAILSTOP T-2108
SEATTLE, WA 98105
King County (206) 987-5691
SHENG ZHOU MD
Otolaryngology (Pediatric Otolaryngology)
4800 SAND POINT WAY NE
SEATTLE, WA 98105
King County (206) 987-2105

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 Jaclyn Omura's NPI number?

The NPI number for Jaclyn Omura is 1609213560. It was assigned to this individual provider in the NPPES registry on May 31, 2013. The provider is also known as Ms. Jaclyn Christine Russell M.D..

Where is Jaclyn Omura located?

Jaclyn Omura practices at 4800 Sand Point Way NE, Seattle, WA 98105. The listed phone number is (206) 987-2850.

What is Jaclyn Omura's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Jaclyn Omura enrolled in Medicare?

Yes. Jaclyn Omura 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 Jaclyn Omura accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jaclyn Omura 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 Jaclyn Omura was last updated on July 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.