Individual provider Active NPI

Melissa Ann Barclay, ARNP

  • Nurse Practitioner
  • Edmonds, WA
National Provider Identifier
1053943993
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61022271 Issued in WA
Practice address
21701 76TH Ave W Ste 104
Edmonds, WA 98026-7536
Phone
(425) 476-1100
Fax
(425) 748-7782
NPI assigned
Feb 9, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61022271 WA Primary

Addresses

Primary practice location

21701 76TH Ave W Ste 104
Edmonds, WA 98026-7536

Mailing address

21701 76TH Ave W Ste 104
Edmonds, WA 98026-7536
Phone (425) 476-1100

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
I20200902000582 WA Practitioner - Nurse Practitioner 1658798889 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

21701 76TH Ave W
Suite 104
Edmonds, WA 98026-7536
Phone (425) 403-9331

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Hill Pain & Wellness CurrentSince Jun 1, 2024 Accepting new patients
Lake Washington Private Medicine Inc CurrentSince Oct 1, 2020 Accepting new patients

Locations

600 Jefferson St
Ste 404
Lafayette, LA 70501

21701 76th Ave W
Ste 104
Edmonds, WA 98026
Phone (425) 403-9331

21701 76th Ave W
Edmonds, WA 98026
Phone (425) 230-4858

13122 120th Ave NE
Kirkland, WA 98034
Phone (425) 678-8534

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BIEAED/Endpoint/BIEAED

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": "1581206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1053943993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21701 76TH AVE W STE 104",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267536",
            "telephone_number": "425-476-1100",
            "fax_number": "425-748-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21701 76TH AVE W STE 104",
            "city": "EDMONDS",
            "state": "WA",
            "postal_code": "980267536",
            "telephone_number": "425-476-1100",
            "fax_number": "425-748-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARCLAY",
        "first_name": "MELISSA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-09",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61022271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmonds, WA

Sources for this page

Verify at the official NPI Registry.