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JEFFREY S BLACKWELL
NPI 1831167451
Family Medicine in Everett, WA

Active since March 09, 2006
3927 RUCKER AVE, EVERETT, WA 98201(425) 339-5422(425) 339-5444 Get Directions Write a Review

NPPES record last updated: July 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jeffrey S Blackwell NPPES

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

JEFFREY S BLACKWELL (NPI 1831167451) is an individual family medicine provider in Everett, Washington, licensed in Washington (MD00029693) and active in the NPI registry since March 2006. He maintains a secondary practice location in Everett.

NPPES Registry Identity

NPI1831167451
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFREY S BLACKWELL
Location Address3927 RUCKER AVEEverett, WA 98201-4833
Mailing AddressPo Box 5127Everett, WA 98206-5127
Phone(425) 339-5422
Fax(425) 339-5444
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateJuly 31, 2020
NPPES CertifiedJuly 31, 2020
✔ NPI 1831167451 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in WA · MD00029693✔ Licensed in WA · 29693
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.
3927 RUCKER AVE, Everett, WA 98201
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Secondary Practice Location 1

Location 11818 121st St SEEverett, WA 98208-5985 · Phone (425) 357-3304

Other Identifiers 1

Medicaid1020053WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

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.

RAYNALD H IM M.D.
Family Medicine
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5422
MR. FLORIE GONZALES JR. OTR/L, CHT
Occupational Therapist
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5491
KELLY L WHITEHILL
Clinical Nurse Specialist (Medical-Surgical)
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5480
DR. KURT R. DUFFENS M.D.
Internal Medicine
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5422
SHANNON E LONG PT, DPT
Physical Therapist
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5419
MARY E MITCHELL PA
Physician Assistant (Medical)
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5422
EDWARD R BAUER CRNA
Nurse Anesthetist, Certified Registered
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 259-0966
PAULA DIANE RUEDEBUSCH FNP-BC, DNP
Nurse Practitioner
3927 RUCKER AVE
EVERETT, WA 98201
Snohomish County (425) 339-5422

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 Jeffrey Blackwell's NPI number?

The NPI number for Jeffrey Blackwell is 1831167451. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Jeffrey Blackwell located?

Jeffrey Blackwell practices at 3927 Rucker Ave, Everett, WA 98201. The listed phone number is (425) 339-5422.

What is Jeffrey Blackwell's specialty?

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

What insurance does Jeffrey Blackwell accept?

Health plans from PacificSource Health Plans list Jeffrey Blackwell 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 Jeffrey Blackwell was last updated on July 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.