Individual provider Active NPI

Bakary Marong, DNP ARNP AGACNP-BC

  • Acute Care Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1073187159
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP61142494 Issued in WA
Practice address
11120 NE 33Rd PL Ste 202
Bellevue, WA 98004-1444
Phone
(206) 823-1004
NPI assigned
May 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP61142494 WA Primary

Addresses

Primary practice location

11120 NE 33Rd PL Ste 202
Bellevue, WA 98004-1444

Mailing address

12433 Admiralty Way Apt Q403
Everett, WA 98204-7570
Phone (425) 268-7279

Other names 1

  • Mr. Bakary Marong Professional name

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
I20210614003451 WA Practitioner - Nurse Practitioner 4789084641 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peace Arch Cardiology, PCGroup PAC ID 1951474402, 5 clinicians

Practice addresses (Care Compare)

1344 King St
Suite 104
Bellingham, WA 98229-6215
Phone (360) 594-4002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Postacute Care PLLC CurrentSince Aug 1, 2021 Accepting new patients
Highcare Medical Consultants PLLC CurrentSince Oct 21, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 20, 2023 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Dec 23, 2025 Accepting new patients
Wound Healing Care Specialists Wa PC CurrentSince Dec 8, 2025 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

25044 Peachland Ave
Ste 110
Santa Clarita, CA 91321

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

22522 29th Dr SE
#L210
Bothell, WA 98021
Phone (509) 774-7874

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

711 Capitol Way S
Ste 204
Olympia, WA 98501
Phone (602) 499-5303

450 Alaskan Way S
Ste 200
Seattle, WA 98104
Phone (206) 208-9095

Organizations & group practices 7

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": "1620864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1073187159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12433 ADMIRALTY WAY APT Q403",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982047570",
            "telephone_number": "425-268-7279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11120 NE 33RD PL STE 202",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980041444",
            "telephone_number": "206-823-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARONG",
        "first_name": "BAKARY",
        "credential": "DNP ARNP AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WA",
            "license": "AP61142494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BAKARY",
            "last_name": "MARONG",
            "prefix": "MR.",
            "credential": "DNP ARNP AGACNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.