Organization Active NPI

Wellness Care PLLC

  • Nurse Practitioner
  • Woodinville, WA
National Provider Identifier
1194310409
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
WELLNESS CARE PLLC
Practice address
13390 NE Village Square Dr Apt B309
Woodinville, WA 98072-8000
Phone
(425) 260-2612
NPI assigned
Mar 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Authorized official

Name
Michelle WalkerNPI 1861969156
Title
Owner
Phone
(425) 260-2612

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

13390 NE Village Square Dr Apt B309
Woodinville, WA 98072-8000

Mailing address

13390 NE Village Square Dr Apt B309
Woodinville, WA 98072-4120
Phone (425) 260-2612

Other names 1

  • Wellness Care PLLc Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.wellnesscarepllc.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, FL, AZ3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20250529001214 WA Part B Supplier - Clinic/Group Practice 3274052675 Receives reassigned benefits from 1 practitioner
Practice locations: Woodinville, WA
O20250709001669 FL Part B Supplier - Clinic/Group Practice 3274052675 Receives reassigned benefits from 1 practitioner
Practice locations: Boca Raton, FL
O20251114003973 AZ Part B Supplier - Clinic/Group Practice 3274052675 Receives reassigned benefits from 1 practitioner
Practice locations: Phoenix, AZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750204800000",
    "number": "1194310409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13390 NE VILLAGE SQUARE DR APT B309",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980724120",
            "telephone_number": "425-260-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13390 NE VILLAGE SQUARE DR APT B309",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980728000",
            "telephone_number": "425-260-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-08",
        "last_updated": "2025-06-18",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-260-2612"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.wellnesscarepllc.com",
            "affiliation": "N",
            "address_1": "12018 172nd Street Ct E",
            "city": "Puyallup",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983749747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Wellness Care PLLc",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Wellness Care PLLc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Woodinville, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.