Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacqueline Wahl

Individual provider Nurse Practitioner · NPI 1437774338

Jacqueline Wahl is a Nurse Practitioner in Marysville, Washington. Qualified in 2020, 6 years ago. Practices with Optum Care Washington PLLC, a 685-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
6
Licensed in
OR, WA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

2901 174th St NE
Marysville, WA 98271-4743
Phone: (360) 454-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2830 Crescent Ave, Eugene, OR 97408-7397 — (541) 686-9000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence AP61073449 (WA)
Nurse Practitioner Taxonomy 363L00000X · Licence 10022236 (OR)

Record details

NPI number1437774338
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 16, 2020
Last updated in NPPESOctober 24, 2025
Certification dateOctober 24, 2025
Mailing addressPo Box 5127, Everett, WA 98206-5127

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Optum Care Washington Pllc — 685 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Marysville