NPPES file of Aug 9, 2026

Michael Jake Petersen, MD

Pediatric Sports Medicine Physician · Seattle, WA

Michael Jake Petersen, MD is a pediatric sports medicine physician with a practice address in Seattle, Washington, and NPI 1780248146, issued on Apr 30, 2019. Check the license (Washington MD.MD.61679347, as entered in NPPES) on the Washington Medical Commission; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1780248146
Name
Michael Jake Petersen
Credential
MD
Primary taxonomy
Pediatric Sports Medicine Physician 2080S0010X
License number
MD.MD.61679347 WA
Self-reported in NPPES; status is on the state search
Practice location
3800 Montlake Blvd, Seattle, WA 98195
Phone
(206) 520-5000
Enumerated
Apr 30, 2019
Record last updated
Apr 11, 2026
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). A record is not a license: verify it with the state board.
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Also registered at 3800 Montlake Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Taylor Buuck, MDSports Medicine (Orthopaedic Surgery) Physician1699303743
  2. Maggie Catlin, PTPhysical Therapist1861706947
  3. Mahra Davidson, PASurgical Physician Assistant1235609157
  4. Jordyn Eisenhard, MS, ATCAthletic Trainer1790184463
  5. Dominic Femiano, M.D.Family Medicine Physician1801195482
  6. Zachary Fox, PT, DPT, ATCPhysical Therapist1700534187

Verify Michael Jake Petersen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWashington Medical Commission
    Search for license MD.MD.61679347
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Washington license search

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Pediatric Sports Medicine Physician providers in Washington

There are 8 pediatric sports medicine physician records in Washington. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 7 pediatric sports medicine physician records with the nearest ZIP codes

  1. Monique Burton, M.D.Seattle, WA 981951457433567
  2. Steven Anderson, M.D.Seattle, WA 981051982752069
  3. John Lockhart, M.D.Seattle, WA 981051235397233
  4. Kyle Nagle, MDSeattle, WA 981051104990209
  5. Stessie Zimmerman, MDSeattle, WA 981051326432345
  6. Thomas JingujiKent, WA 980321447335252
  7. Kyle Mihaylo, MDPuyallup, WA 983711366932311

Common questions

What is Michael Jake Petersen, MD's NPI number?

Michael Jake Petersen, MD's National Provider Identifier (NPI) is 1780248146, issued on Apr 30, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Michael Jake Petersen, MD located?

The NPPES record lists a practice address at 3800 Montlake Blvd, Seattle, WA, 98195. Phone: (206) 520-5000. Providers update this record themselves, so call before visiting.

How can I verify Michael Jake Petersen, MD's license?

NPPES lists Washington license number MD.MD.61679347, as entered by the provider. Search the Washington Medical Commission at https://wahelms.my.site.com/s/license-search. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.