NPIMap

Individual provider Active NPI

Wendy Ann Kruse, ARNP

  • Family Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1063188795
Registry record updated Aug 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61208758 Issued in WA
Practice address
413 Lilly Rd NE
Olympia, WA 98506-5133
Phone
(360) 491-9480
NPI assigned
Aug 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61208758 WA Primary

Addresses

Primary practice location

413 Lilly Rd NE
Olympia, WA 98506-5133

Mailing address

1900 19TH St SE
Puyallup, WA 98372-7123
Phone (253) 209-9412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113002041 WA Practitioner - Nurse Practitioner 7719379262 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seva Medical PLLC 28 clinicians
Athena Medical Group 43 clinicians
Select Outpatient Services Inc 750 clinicians
Select Rehabilitation, LLC 1,935 clinicians
Franciscan Medical Group 1,400 clinicians
Dispatchhealth Washington PC 44 clinicians

Practice addresses (Care Compare)

11120 NE 33Rd PL
Suite 202
Bellevue, WA 98004-1444
Phone (888) 637-9669

19803 1St Ave S
Suite 200
Normandy Park, WA 98148-2410
Phone (480) 712-8319

2600 Compass Rd
Glenview, IL 60026-8001

4205 Kitsap Way
Bremerton, WA 98312-2447
Phone (360) 782-7780

6240 Tacoma Mall Blvd
Suite 101
Tacoma, WA 98409-6819
Phone (253) 271-9720

Hospital & facility affiliations

  • Puget Sound Home Health Home health agency, Tacoma, WA, CCN 507101
  • Signature Healthcare at Home Home health agency, Federal Way, WA, CCN 507110
  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

Merit-based Incentive Payment System (MIPS)

Final score
50.5 of 100Reported as group
Quality
44.61
Promoting interoperability
0
Improvement activities
40
Cost
50.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61208758WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Advanced Care - Washington PC CurrentSince Dec 7, 2021 Accepting new patients
Franciscan Medical Group CurrentSince Sep 1, 2025 Accepting new patients
Dispatchhealth Washington PC CurrentSince Dec 7, 2021 Accepting new patients
Athena Medical Group Family CurrentSince Jan 12, 2026 Accepting new patients
Franciscan Medical Group CurrentSince Sep 1, 2025 Accepting new patients

Locations

16515 S 40th St
Ste 143
Phoenix, AZ 85048
Phone (602) 753-8012

4205 Kitsap Way
Bremerton, WA 98312
Phone (360) 782-7780

19803 1st Ave S
Ste 200
Normandy Park, WA 98148
Phone (206) 870-7549

1411 4th Ave
Seattle, WA 98101
Phone (253) 271-9720

920 N Argonne Rd
Ste 115
Spokane Valley, WA 99212
Phone (509) 408-2107

6240 Tacoma Mall Blvd
Ste 101
Tacoma, WA 98409
Phone (253) 271-9720

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: wendy.kruse.1@13869.direct.athenahealth.com
  • Direct secure messaging: wkruse919650@fhsce.catholichealth.net

Organizations & group practices 11

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1629590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629590400000",
    "number": "1063188795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 19TH ST SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983727123",
            "telephone_number": "253-209-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 LILLY RD NE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065133",
            "telephone_number": "360-491-9480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUSE",
        "first_name": "WENDY",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-22",
        "last_updated": "2021-08-22",
        "certification_date": "2021-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61208758",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.