Active NPI
Mayling B Barrera, ARNP
- Nurse Practitioner
- Lakewood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- F432672
- Practice address
- 11315 Bridgeport Way SW
Lakewood, WA 98499-3004 - Phone
- (253) 985-6413
- NPI assigned
- Feb 13, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 173877 | AK | |
| Nurse Practitioner | 363L00000X | F432672 | NY | Primary |
| Acute Care Nurse Practitioner | 363LA2100X | 0024197796 | VA |
Addresses
Primary practice location
11315 Bridgeport Way SW
Lakewood, WA 98499-3004
Mailing address
3952 Boysenberry Ave Apt 3
Ft Wainwright, AK 99703-1621
Phone (786) 514-1947
Other practice location 1
400 Sentara Cir Ste 320
Williamsburg, VA 23188-5716
Phone (757) 345-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22670 Summit Dr
BLDG 6
Watertown, NY 13601-7208
Phone (315) 779-7430
5100 W Taft Rd
Liverpool, NY 13088-4841
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F432672 | NY | MD | Nurse Practitioner |
| 173877 | AK | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Medical PC | Current | Accepting new patients | |
| St Josephs Medical PC | Current | Accepting new patients |
Locations
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876
Interoperability endpoints
- mbarrera3149364@direct.trinity-health.org
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.
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Critical Access Hospital
- Gouverneur, NY
- NPI 1629409925
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1205392339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3952 BOYSENBERRY AVE APT 3",
"city": "FT WAINWRIGHT",
"state": "AK",
"postal_code": "997031621",
"telephone_number": "786-514-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11315 BRIDGEPORT WAY SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993004",
"telephone_number": "253-985-6413"
}
],
"practiceLocations": [
{
"address_1": "400 Sentara Cir Ste 320",
"address_purpose": "LOCATION",
"city": "Williamsburg",
"state": "VA",
"postal_code": "231885716",
"country_code": "US",
"telephone_number": "757-345-4800",
"fax_number": "757-345-4801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARRERA",
"first_name": "MAYLING",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-13",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AK",
"license": "173877",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "F432672",
"primary": true
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "VA",
"license": "0024197796",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.