Individual provider Active NPI

Angela Nichole Szatkowski, D.O.

  • Family Medicine Physician
  • Poulsbo, WA
National Provider Identifier
1073953964
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OP61486368 Issued in WA
Practice address
21800 Market PL NW Ste 104
Poulsbo, WA 98370-6667
Phone
(833) 411-5469
Fax
(855) 459-3020
NPI assigned
Jun 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02004525A IN
Family Medicine Physician 207Q00000X DOS2187 HI
Family Medicine Physician 207Q00000X OP61486368 WA Primary

Addresses

Primary practice location

21800 Market PL NW Ste 104
Poulsbo, WA 98370-6667

Mailing address

21800 Market PL NW Ste 104
Poulsbo, WA 98370-6667
Phone (833) 411-5469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, WA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221209001262 HI Practitioner - Family Practice 4981992344 Reassigns benefits to 1 organization
I20240507004263 WA Practitioner - Family Practice 4981992344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DOS2187HIMDFamily Medicine Physician
02004525AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Snohomish County Family Medicine CurrentSince Mar 11, 2024 Accepting new patients
Community Health Center of Snohomish County CurrentSince Mar 11, 2024 Accepting new patients
600 Stewart Medical Group, P.C. CurrentSince Apr 6, 2025 Accepting new patients

Locations

1019 112th St SW
Everett, WA 98204
Phone (425) 551-6001

8609 Evergreen Way
Everett, WA 98208
Phone (425) 551-6200

21800 Market Pl NW
Ste 104
Poulsbo, WA 98370

Networks

  • HI PPO
  • devoted network organization-c89d4c14-e90f-4cf7-83f9-456527a52335

Organizations & group practices 4

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": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1073953964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21800 MARKET PL NW STE 104",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706667",
            "telephone_number": "833-411-5469",
            "fax_number": "855-459-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21800 MARKET PL NW STE 104",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706667",
            "telephone_number": "833-411-5469",
            "fax_number": "855-459-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZATKOWSKI",
        "first_name": "ANGELA",
        "middle_name": "NICHOLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-25",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02004525A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "HI",
            "license": "DOS2187",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "OP61486368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

Verify at the official NPI Registry.