Wendy Mironov, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP60896870 Issued in WA

Practice address

16200 116TH Ave SE
Renton, WA 98058-5200

Phone

(425) 400-1899

Fax

(425) 663-8000

NPI assigned

Oct 4, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HealthpointGroup PAC ID 9335042886, 175 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wmironov450658@direct.multicare.org
• Direct secure messaging: wendy.mironov.p3@direct.hpc.nextgenshare.com
• Direct secure messaging: wmironov20106@healthpoint.direct-ci.com

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.

• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Kent, WA
  • NPI 1831199454
  Medicare reassignment Care Compare group NPD
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Aberdeen, WA
  • NPI 1811051170

  Nurse Practitioner

  Medicare reassignment NPD
• We Care Daily Clinics LLC

  • Methadone Clinic
  • Auburn, WA
  • NPI 1326502865
  Medicare reassignment NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Tukwila, WA
  • NPI 1215206313
  NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1770471377
  NPD
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Seattle, WA
  • NPI 1346398666

  Nurse Practitioner

  NPD
• Sea Mar Community Health Centers

  • Federally Qualified Health Center (FQHC)
  • Spanaway, WA
  • NPI 1922624642

  Registered Nurse

  NPD
• Healthpoint

  • Federally Qualified Health Center (FQHC)
  • Redmond, WA
  • NPI 1891795621
  NPD (past)
• Sea-Mar Community Health Center

  • Family Medicine Physician
  • Seattle, WA
  • NPI 1942358817
  NPD (past)

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1184199242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 POWELL AVE SW",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16200 116TH AVE SE",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980585200",
            "telephone_number": "425-400-1899",
            "fax_number": "425-663-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1112 S Cushman Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984053631",
            "country_code": "US",
            "telephone_number": "253-593-2144 x22555",
            "fax_number": "253-246-6725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14434 Ambaum Blvd SW Ste 5",
            "address_purpose": "LOCATION",
            "city": "Burien",
            "state": "WA",
            "postal_code": "981661438",
            "country_code": "US",
            "telephone_number": "206-812-6140 x20166",
            "fax_number": "206-812-2466",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8720 14th Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981084807",
            "country_code": "US",
            "telephone_number": "206-762-3730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRONOV",
        "first_name": "WENDY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-04",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60896870",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60867522",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60896870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wmironov20106@healthpoint.direct-ci.com",
            "affiliation": "N",
            "address_1": "16200 116th Ave SE",
            "city": "Renton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "980585200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda K Minato, L. AC.
• Aniqa Maqsood Minhas, DO
• Nolwenn Miniere
• Paul Minnich
• Minuteclinic Primary Care Washington PLLC
• Krisha-Tyra Misa, DDS, MS
• Michael Aziz Mishalanie, DPM
• Mission Healthcare at Bellevue, Joint Venture
• Mission Healthcare at Renton, LLC
• Leanne Mitchell, PT

• Nurse Practitioner in Renton, WA
• Providers in Renton, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.