Individual provider Active NPI

Michelle Marie Waldron, ARNP

  • Nurse Practitioner
  • Renton, WA
National Provider Identifier
1194064535
Registry record updated Feb 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60316871 Issued in WA
Practice address
1413 SW 43Rd Street
Renton, WA 98057-3356
Phone
(425) 272-4600
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2013

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 AP60316871 WA Primary

Addresses

Primary practice location

1413 SW 43Rd Street
Renton, WA 98057-3356

Mailing address

1702 Cypress Way
Lynnwood, WA 98036-9006
Phone (425) 402-8891

Other names 1

  • Michelle Marie Waldron 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
I20170614001185 WA Practitioner - Nurse Practitioner 8426366170 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novari Primary Care LLCGroup PAC ID 3476815051, 19 clinicians

Practice addresses (Care Compare)

4686 Pointes Dr
Suite 219
Mukilteo, WA 98275-6038
Phone (425) 405-8089

Hospital & facility affiliations

  • Assured Home Health Home health agency, Mountlake Terrace, WA, CCN 507099
  • Puget Sound Home Health Home health agency, Tacoma, WA, CCN 507101
  • Centerwell Home Health Home health agency, Tacoma, WA, CCN 507031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novari Primary Care LLC Nurse Practitioner CurrentSince Feb 26, 2025 Accepting new patients
Bastion Health PC CurrentSince Apr 15, 2022 Accepting new patients

Locations

6811 S 204th St
Ste 280
Kent, WA 98032
Phone (206) 229-6448

4686 Pointes Dr
Ste 219
Mukilteo, WA 98275
Phone (425) 405-8089

1412 SW 43rd St
Ste 240
Renton, WA 98057
Phone (253) 852-4699

Organizations & group practices 2

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": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360022400000",
    "number": "1194064535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 CYPRESS WAY",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980369006",
            "telephone_number": "425-402-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 SW 43RD STREET",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573356",
            "telephone_number": "425-272-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDRON",
        "first_name": "MICHELLE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60316871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "WALDRON",
            "middle_name": "MARIE",
            "credential": "ARNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Renton, WA

Sources for this page

Verify at the official NPI Registry.