Individual provider Active NPI

Wilfred Glenn Levasseur, ARNP, FNP-C

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1023490786
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61483024 Issued in WA
Practice address
155 17TH Ave Unit 101
Seattle, WA 98122-6772
Phone
(425) 998-8277
NPI assigned
Jun 18, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA60204513 WA
Family Nurse Practitioner 363LF0000X AP61483024 WA Primary

Addresses

Primary practice location

155 17TH Ave Unit 101
Seattle, WA 98122-6772

Mailing address

155 17TH Ave Unit 101
Seattle, WA 98122-6772
Phone (206) 992-1255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240306002847 WA Practitioner - Nurse Practitioner 7911343595 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
MA60204513WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Doc Mamas Medicine, LLC CurrentSince Jan 31, 2024 Accepting new patients
Willful Massage Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1023490786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 17TH AVE UNIT 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226772",
            "telephone_number": "206-992-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 17TH AVE UNIT 101",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981226772",
            "telephone_number": "425-998-8277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVASSEUR",
        "first_name": "WILFRED",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "ARNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-18",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60204513",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61483024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.