Individual provider Active NPI

Abigail Bracken, ARNP

  • Nurse Practitioner
  • Kirkland, WA
National Provider Identifier
1164080602
Registry record updated Sep 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60964524 Issued in WA
Practice address
400 Urban PLZ Ste 100
Kirkland, WA 98033-5368
Phone
(206) 350-7202
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2021

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 AP60964524 WA Primary

Addresses

Primary practice location

400 Urban PLZ Ste 100
Kirkland, WA 98033-5368

Mailing address

2713 S Elmwood PL
Seattle, WA 98144-3131
Phone (206) 979-2229

Other practice location 1

12301 NE 10th Pl Ste 200
Bellevue, WA 98005-2487
Phone (425) 450-2020

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
I20190924002941 WA Practitioner - Nurse Practitioner 7416287081 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
Group practices
Northwest Vision Institute PLLCGroup PAC ID 5597809236, 7 clinicians

Practice addresses (Care Compare)

12301 NE 10TH PL
Suite 200
Bellevue, WA 98005-2487
Phone 4254502020245

Merit-based Incentive Payment System (MIPS)

Final score
90.93 of 100Reported as group
Quality
100
Improvement activities
40
Cost
69.78

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Vision Institute, PLLC CurrentSince Mar 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Sep 13, 2025 Accepting new patients
Northwest Vision Institute, PLLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

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

12301 NE 10th Pl
Ste 200
Bellevue, WA 98005
Phone (425) 450-2020

11800 NE 128th St
Ste 110
Kirkland, WA 98034
Phone 4254502020 ext. 245

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

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

Interoperability endpoints

  • Direct secure messaging: abracken@nvi.intellechartdirect.net

Organizations & group practices 3

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": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1164080602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 S ELMWOOD PL",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981443131",
            "telephone_number": "206-979-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 URBAN PLZ STE 100",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980335368",
            "telephone_number": "206-350-7202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12301 NE 10th Pl Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980052487",
            "country_code": "US",
            "telephone_number": "425-450-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRACKEN",
        "first_name": "ABIGAIL",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60964524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.