Individual provider Active NPI

Izzy Isahy Nero, ARNP

  • Family Nurse Practitioner
  • Dupont, WA
National Provider Identifier
1245012111
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61584684 Issued in WA
Practice address
2758 Arnold St
Dupont, WA 98327-8717
Phone
(609) 367-2080
NPI assigned
Oct 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61584684 WA Primary
Registered Nurse 163W00000X RN60727694 WA

Addresses

Primary practice location

2758 Arnold St
Dupont, WA 98327-8717

Mailing address

2758 Arnold St
Dupont, WA 98327-8717

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
I20250709004399 WA Practitioner - Nurse Practitioner 2668986746 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Washington Pac Services PCGroup PAC ID 4082986070, 43 clinicians
Wa Pacs 2 PCGroup PAC ID 6901156538, 26 clinicians
CS Pacs 3 Northwest LLCGroup PAC ID 8729526496, 26 clinicians

Practice addresses (Care Compare)

4524 Intelco Loop SE
Lacey, WA 98503-5941
Phone (360) 491-9890

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60727694WAMDRegistered Nurse
AP61584684WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wa Pacs 2 PC CurrentSince Jun 3, 2025 Accepting new patients
CS Pacs 3 Northwest, LLC CurrentSince Jun 3, 2025 Accepting new patients
Washington Pac Services PC CurrentSince Jun 3, 2025 Accepting new patients

Locations

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

414 17th St SE
Auburn, WA 98002
Phone (253) 320-0748

21008 76th Ave W
Edmonds, WA 98026
Phone (425) 778-0107

135 S 336th St
Federal Way, WA 98003
Phone (253) 835-7433

4524 Intelco Loop SE
Lacey, WA 98503
Phone (360) 491-9884

920 12th Ave SE
Puyallup, WA 98372
Phone (253) 841-3422

3600 E Hartson Ave
Spokane, WA 99202
Phone (509) 468-7000

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1697414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1245012111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2758 ARNOLD ST",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2758 ARNOLD ST",
            "city": "DUPONT",
            "state": "WA",
            "postal_code": "983278717",
            "telephone_number": "609-367-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NERO",
        "first_name": "IZZY",
        "middle_name": "ISAHY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-16",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61584684",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60727694",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dupont, WA

Sources for this page

Verify at the official NPI Registry.