Ann M Failoni, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

AP30005953 Issued in WA

Practice address

661 Ness Corner Rd
Port Hadlock, WA 98339

Phone

(360) 912-5777

Fax

(206) 472-6035

NPI assigned

Jul 16, 2006

Last updated

Jan 8, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 7

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

Specialty

Nurse Practitioner

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Olympic Peninsula Health ServicesGroup PAC ID 9830524966, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Olympic Peninsula Health Services

  • Addiction Medicine (Internal Medicine) Physician
  • Port Hadlock, WA
  • NPI 1700373321
  Medicare reassignment Care Compare group NPD
• Peninsula Chiropractic Clinic

  • Chiropractor
  • Port Hadlock, WA
  • NPI 1861794182
  Medicare reassignment NPD
• Sound Integrated Health LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Tacoma, WA
  • NPI 1558885210
  Medicare reassignment NPD
• Munoz Regimbal and Associates Physicians Professional LLC

  dba Internal Medicine Northwest

  • Specialist
  • Tacoma, WA
  • NPI 1356388276
  NPD (past)
• Surgical Weight Loss Clinic PLLC

  • Medical Specialty Clinic/Center
  • Tacoma, WA
  • NPI 1811015399
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1245257054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 574",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "983390574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 NESS CORNER RD",
            "city": "PORT HADLOCK",
            "state": "WA",
            "postal_code": "98339",
            "telephone_number": "360-912-5777",
            "fax_number": "206-472-6035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 W Patison St",
            "address_purpose": "LOCATION",
            "city": "Port Hadlock",
            "state": "WA",
            "postal_code": "983399751",
            "country_code": "US",
            "telephone_number": "360-385-4900",
            "fax_number": "360-385-3798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAILONI",
        "first_name": "ANN",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WA",
            "license": "AP30005953",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30005953",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUESHIELD",
            "identifier": "3976FA",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00272186",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "192942504",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9635301",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I (REGULAR)",
            "identifier": "0202595",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I (CRIME VICTIM)",
            "identifier": "8937956",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH COOPERATIVE",
            "identifier": "423898079",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dirksen Physical Therapy Inc PS
• Jeanne A Dirksen, PT
• Discovery Physical Therapy Inc., P.S.
• Doctors Noble Cramer PLLC
• Isabel Dubois, LMT
• Fred Meyer Stores Inc (QFC Pharmacy)
• Renaldo Ganir, R.PH.
• Holly Marie Gibson, LMP
• Patricia Louise Grant, LMHC
• Jessica C Gross, RPH

• Adult Health Nurse Practitioner in Port Hadlock, WA
• Providers in Port Hadlock, WA by specialty
• Adult Health Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.

Verify at the official NPI Registry.