Individual provider Active NPI

Margaret Marie Hennessey, FNP

  • Family Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1225328248
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60127191 Issued in WA
Practice address
404 Yauger Way SW Ste 100
Olympia, WA 98502-8152
Phone
(564) 669-5150
Fax
(564) 669-5155
NPI assigned
Apr 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60127191 WA Primary

Addresses

Primary practice location

404 Yauger Way SW Ste 100
Olympia, WA 98502-8152

Mailing address

404 Yauger Way SW Ste 100
Olympia, WA 98502-8152
Phone (564) 669-5150

Other practice location 1

1740 Cooks Hill Rd
Centralia, WA 98531-9071
Phone (360) 736-7623

Other names 1

  • Margaret Marie Buckneer Other 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
I20110825000758 WA Practitioner - Nurse Practitioner 6204006422 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Medical Center Physicians LLCGroup PAC ID 3678639879, 59 clinicians

Practice addresses (Care Compare)

3920 Capital Mall Dr SW
Suite 200
Olympia, WA 98502-8701
Phone (360) 459-7282

404 Yauger Way SW
Suite 100
Olympia, WA 98502-8152
Phone (360) 596-4614

Hospital & facility affiliations

  • Assured Home Health and Hospice Home health agency, Centralia, WA, CCN 507042
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • Capital Medical Center Hospital, Olympia, WA, CCN 500139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60127191WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Robert R. Nooney, DO, PLLC CurrentSince Jan 1, 2019 Accepting new patients
Capital Medical Center Physicians LLC CurrentSince Oct 25, 2024 Accepting new patients
Capital Medical Center Physicians LLC CurrentSince Oct 25, 2024 Accepting new patients
Capital Medical Center Physicians LLC Past Accepting new patients

Locations

3920 Capital Mall Dr SW
Ste 200
Olympia, WA 98502
Phone (360) 459-7282

404 Yauger Way SW
Ste 100
Olympia, WA 98502
Phone (360) 786-8990

404 Yauger Way SW
Ste 150
Olympia, WA 98502
Phone (360) 357-6314

Organizations & group practices 4

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 4

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": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1225328248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 YAUGER WAY SW STE 100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028152",
            "telephone_number": "564-669-5150",
            "fax_number": "564-669-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 YAUGER WAY SW STE 100",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985028152",
            "telephone_number": "564-669-5150",
            "fax_number": "564-669-5155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 Cooks Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Centralia",
            "state": "WA",
            "postal_code": "985319071",
            "country_code": "US",
            "telephone_number": "360-736-7623",
            "fax_number": "360-736-4497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "MARGARET",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-11",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60127191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "BUCKNEER",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.