JAMES PATRICK ENNEN – Anesthesiology Physician, NPI 1639676331

JAMES PATRICK ENNEN is a healthcare provider. based in Seattle, Washington. specializing in ANESTHESIOLOGY. They hold a License No. ME157168 (FL). The NPI Number for JAMES PATRICK ENNEN is 1639676331

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JAMES PATRICK ENNEN
NPI
1639676331
Phone
(612) 245-6357
Address
1959 NE PACIFIC STREET BOX 356540
Enumeration Date
9 April 2018
Last Update Date
8 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8314627700
Graduation Year
2018 (8 years ago)
PAC ID
3678822459
Group Practice PAC ID
5092807271
Professional Enrollment ID
I20230816002477
Address ID
CA950651705SA1555XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

1,517 ANESTHESIOLOGY in WA

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Provider Addresses for JAMES PATRICK ENNEN

  • 1959 NE PACIFIC STREET BOX 356540

    SEATTLE, WA 981950001

    Phone: (612) 245-6357

    Type: Mailing

  • University of Washington Medical Center - Montlake, 1959, Northeast Pacific Street, University District, Seattle, King County, Washington, 98195, United States

    SEATTLE, WA 981950001

    Phone: (612) 245-6357

    Type: Location

  • 1959 NE Pacific St

    Seattle, WA 981950001

    Phone: (612) 245-6357

    Type: Location

  • 1600 SW ARCHER RD

    PO BOX 100254

    GAINESVILLE, FL 326100001

    Phone: (352) 273-8610

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230816002477IAnesthesiologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36620Insertion of artery tube for blood sampling or infusion through skin1211$0
76937Ultrasonic guidance for blood vessel access1111$0
View full utilization report →

Insurance plans in this area (ZIP 98195)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5092807271View full group profile
NameSpecialtyState
-CA
A N E S T H E S I O L O G YIN
A N E S T H E S I O L O G YCA
-CA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YGA
A N E S T H E S I O L O G YCA
A N E S T H E S I O L O G YNY

Reviews

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Frequently asked questions

Can I cross-check JAMES PATRICK ENNEN using NPI 1639676331?
NPI 1639676331 belongs to JAMES PATRICK ENNEN; compare other details if you need extra assurance.
Is JAMES PATRICK ENNEN shown as active in public data?
Registry records indicate JAMES PATRICK ENNEN maintains an active NPI.
What clinical focus is listed for JAMES PATRICK ENNEN?
At a glance, JAMES PATRICK ENNEN is tied to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for JAMES PATRICK ENNEN?
Travel planning: use Seattle, Washington as the reference point for JAMES PATRICK ENNEN, then confirm.
When was this NPI issued?
Enumeration for JAMES PATRICK ENNEN is noted as April 9, 2018 where the registry provides it.

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