Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Janine Mercy Garner , MSN, FNP, -BC, ARNP

Nurse Practitioner • Seattle, WA

Active NPI 1811559123 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1633 Westlake Ave N Ste 105
Seattle, WA 981096241

Call 5093709014 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1633 Westlake Ave N Ste 105

Seattle, WA 981096241

Telephone 5093709014
Organization at the Same NPPES Address or Phone
Xlhome, P.c. Facility NPI 1013258060

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Pinehurst, ID. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Southeast Alaska Regional Health Consortium. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2018

30-day fills

390 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$111,867 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $21.62 in 2023

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2023.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2019

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Janine Garner has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Janine Garner as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Seattle and Washington

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Nurse Practitioner in Seattle, WA (2024, 237 clinicians with data). Median for this group: 147. Middle half: 53 to 478.

Close to the middle for clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: 277. Middle half: 74 to 877.

Part D drug cost

A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Seattle, WA (2024, 237 clinicians with data). Median for this group: $9,065. Middle half: $917 to $111,867.

A higher Part D drug cost than 75% of clinicians listed under Nurse Practitioner in Washington (2024, 1,099 clinicians with data). Median for this group: $11,694. Middle half: $1,114 to $110,470.

569 active clinicians are listed under Nurse Practitioner with a practice address in Seattle, WA (2,310 in Washington).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Seattle

28.8% of these 569 clinicians have the CMS telehealth indicator.

58.7% of these 569 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2023

Program year 2023 (payments made January 1 – December 31, 2023): fewer than 11 records totaling $21.62.

Manufacturer Payment Nature Product Type Amount ($)
Eli Lilly and Company
Food and Beverage
In-kind items and services
TRULICITY General $21.62

Source: CMS Open Payments, program year 2023, released June 30, 2026.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Furosemide Furosemide 89 1,267 $865.85 —
Potassium Chloride Potassium Chloride 33 968 $712.49 —
Myrbetriq Mirabegron 25 350 $5,739.32 —
Jardiance Empagliflozin 25 350 $7,610.74 —
Simvastatin Simvastatin 23 690 $424.50 —
Atorvastatin Calcium Atorvastatin Calcium 23 690 $583.09 —
Baclofen Baclofen 18 477 $686.48 —
Restasis Cyclosporine 16 345 $7,885.93 —
Symbicort Budesonide/Formoterol Fumarate 15 450 $3,486.42 —
Hydroxychloroquine Sulfate Hydroxychloroquine Sulfate 13 375 $1,075.72 —
Levetiracetam Levetiracetam 13 375 $457.88 —
Atenolol Atenolol 12 540 $289.58 —
Losartan Potassium Losartan Potassium 12 360 $264.02 —
Spironolactone Spironolactone 12 360 $214.96 —
Lisinopril Lisinopril 11 330 $238.28 —
Allopurinol Allopurinol 11 330 $172.81 —
Ropinirole Hcl Ropinirole Hcl 11 330 $559.65 —
Fenofibric Acid Fenofibric Acid (Choline) 11 330 $352.74 —
Humira(Cf) Pen Adalimumab 11 308 $80,246.70 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES WA N360977888

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Washington State Department of Health Provider Lookup.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20250801000184

Enrollment State Jurisdiction

TX

PECOS Control ID

1557699360

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Southeast Alaska Regional Health Consortium

1200 Salmon Creek Ln, Juneau, AK 998017861

Phone: 9074634040

Secondary Practice Locations

507 Hill St

Pinehurst, ID 83850

Phone: 2082621955

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Sarah Brantner , FNP-BC, ARNP

Nurse Practitioner - Family

NPI 1174972632

Family Nurse Practitioner (Board Certified), Advanced Registered Nurse Practitioner

Michelle Hutt , AP6123863

Nurse Practitioner

NPI 1982364600
Nicole Loosbrock , ARNP

Nurse Practitioner - Family

NPI 1508206483

Advanced Registered Nurse Practitioner

April Meckel

Nurse Practitioner

NPI 1538718374

Career & Practice History

NPI enumerated July 08, 2019.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from August 2019 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1811559123
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2019
Last Update: July 08, 2019
Sole Proprietor: No

Other Nurse Practitioners in Seattle

All Nurse Practitioners in Seattle

Mailing Address

Po Box 583

Pinehurst, ID 838500583

Phone: 2082621955

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.