Active NPI
Nathan Tolley, DO
- Psychiatry Physician
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OP61220523
- Practice address
- 901 S 5TH St
Mount Vernon, WA 98274-3942 - Phone
- (360) 814-7300
- Fax
- (360) 848-4543
- NPI assigned
- May 20, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0061698 | CO | |
| Psychiatry Physician | 2084P0800X | OP61220523 | WA | Primary |
Addresses
Primary practice location
901 S 5TH St
Mount Vernon, WA 98274-3942
Mailing address
901 S 5TH St
Mount Vernon, WA 98274-3942
Phone (360) 814-7300
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ntolley38922@skagit.direct-ci.com | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Lake Erie Col of Osteo Med at Seton Hill Univ, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 416-5750
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0061698 | CO | MD | Psychiatry Physician |
| OP61220523 | WA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Internal Medicine | Current | Accepting new patients |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
901 S 5th St
Mount Vernon, WA 98274
Phone (360) 428-6434
1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750
Interoperability endpoints
- ntolley38922@skagit.direct-ci.com
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.
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- Anesthesiology Physician
- Arlington, WA
- NPI 1265791065
Internal Medicine
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1235666389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 S 5TH ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982743942",
"telephone_number": "360-814-7300",
"fax_number": "360-848-4543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 S 5TH ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982743942",
"telephone_number": "360-814-7300",
"fax_number": "360-848-4543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLLEY",
"first_name": "NATHAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-20",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "0061698",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "OP61220523",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ntolley38922@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "Provider Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1415 E Kincaid St",
"city": "Mount Vernon",
"state": "WA",
"country_code": "US",
"postal_code": "982744126",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.