Look up the most recent NPI and PECOS records

Kelly Elysia Jensen

Hospitalist

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Kelly Elysia Jensen does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 9:59 AM.

Profile Details

Provider ID
1255834057
Provider Type
Individual
Full Name
Jensen, Kelly Elysia
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/17/2018
Last Updated
6/21/2022

Contact Information

Practice Location

325 9th Ave, Seattle, WA 98104-2420

(206) 520-5000

Unlisted Fax

Mailing Location

PO Box 50095, Seattle, WA 98145-5095

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License MD61149290 Washington
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer
Code 208M00000X	Description Hospitalist Allopathic & Osteopathic Physicians	License DR.0066917 Colorado
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License MD61149290 Washington

Kelly Elysia Jensen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Wedgeworth, Patrick James

Trandel, Elizabeth Treacy

Law, Sidney

Abid, Bushra

Brahmbhatt, Jay Manoj

Storm, Erica Marie

Wolpaw, Benjamin Jonathan

Nath, Anik Kumar

Schleyer, Anneliese Margareta

Cho, Alvin Rim