YENNY YUSTANTO ROSLI MD
NPI 1700526712
Internal Medicine in Seattle, WA

Q: What is Yenny Rosli's NPI number?

The NPI number for Yenny Rosli is 1700526712. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Q: What is Yenny Rosli's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Yenny Rosli was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 29, 2022PECOS Enrolled

850 REPUBLICAN ST # 358047, SEATTLE, WA 98109(206) 543-6806 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Yenny Yustanto Rosli Md NPPES

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

YENNY YUSTANTO ROSLI MD (NPI 1700526712) is an individual internal medicine provider in Seattle, Washington, licensed in Washington (MD.MD.61581488) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Harborview Medical Center, and is a graduate of University Of California, San Francisco School Of Medicine (2022).

NPPES Registry Identity

NPI1700526712

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameYENNY YUSTANTO ROSLICredential: MD

Location Address850 REPUBLICAN ST # 358047Seattle, WA 98109-4725

Mailing Address850 Republican St # 358047Seattle, WA 98109-4725 · (206) 543-6806

Phone(206) 543-6806

Sole ProprietorNo

Medical School CMSUniversity Of California, San Francisco School Of MedicineGraduated 2022

Enumeration DateMarch 29, 2022

Last NPPES UpdateAugust 21, 2026

NPPES CertifiedAugust 21, 2026

✔ NPI 1700526712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in WA · MD.MD.61581488

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

850 REPUBLICAN ST # 358047, Seattle, WA 98109

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yenny Yustanto Rosli Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567859028

PECOS Enrollment IDI20260904001706

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 Yenny Rosli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pacmed Clinics

14 mi

Multi-Specialty

601 S CARR RD, SUITE 100
Renton, WA 98055

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

NPI 1720023641 (425) 227-3700

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

Hospital Affiliations CMS Care Compare

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

Harborview Medical Center

Acute Care Hospitals · Seattle, WA

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number500064

Location325 9th AvenueSeattle, WA 98104 · King County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98109 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

$143.76 typical visit price

range $63.67 – $189.37

Typical copayment $35.94 (range $15.91 – $47.34)

Most-billed visit code 99204

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.

AMALIE ALVER MD

Student in an Organized Health Care Education/Training Program