Individual provider Active NPI

Joy C Wu, D.O.

  • Dermatology Physician
  • Mill Creek, WA
National Provider Identifier
1255303632
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OP 60212402 Issued in WA
Practice address
15906 Mill Creek Blvd
Ste 105
Mill Creek, WA 98012-1797
Phone
(425) 385-2009
Fax
(425) 939-0807
NPI assigned
Feb 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0102201216 VA
Dermatology Physician 207N00000X 6867 AK
Dermatology Physician 207N00000X OP 60212402 WA Primary

Addresses

Primary practice location

15906 Mill Creek Blvd
Ste 105
Mill Creek, WA 98012-1797

Mailing address

15906 Mill Creek Blvd
Ste 105
Mill Creek, WA 98012-1797
Phone (425) 385-2009

Other identifiers 1

IdentifierTypeStateIssuer
MD1434MedicaidAK

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120516000294 WA Practitioner - Dermatology 8426173774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of New England, College of Osteo Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Silver Falls Dermatology LLCGroup PAC ID 5890863492, 100 clinicians

Practice addresses (Care Compare)

15906 Mill Creek Blvd
Suite 105
Mill Creek, WA 98012-1797
Phone (425) 385-2009

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions338
Removal or shaving of skin growth1-10
Skin biopsy66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6867AKMDDermatology Physician
0102201216VAMDDermatology Physician
OP 60212402WAMDDermatology Physician
MD00043639WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Falls Dermatology, LLC Dermatology CurrentSince Apr 1, 2021 Accepting new patients

Locations

16410 Smokey Point Blvd
Ste 300
Arlington, WA 98223

1515 116th Ave NE
Ste 307
Bellevue, WA 98004
Phone (425) 999-2628

21727 76th Ave W
Ste H
Edmonds, WA 98026
Phone (425) 672-1333

21701 76th Ave W
Ste 100
Edmonds, WA 98026
Phone (206) 525-1168

21727 76th Ave W
Ste F
Edmonds, WA 98026
Phone (425) 778-7546

21701 76th Ave W
Ste 302
Edmonds, WA 98026
Phone (425) 502-5427

3131 Nassau St
#101
Everett, WA 98201
Phone (425) 339-8888

1106 Douglas St
Ste F
Longview, WA 98632
Phone (360) 636-4500

15906 Mill Creek Blvd
Ste 105
Mill Creek, WA 98012
Phone 4253852009111

11011 Meridian Ave N
Ste 102
Seattle, WA 98133
Phone (206) 859-5777

Interoperability endpoints

  • Direct secure messaging: joyw@frontierdermpartners.emadirect.md

Organizations & group practices 1

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1255303632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15906 MILL CREEK BLVD",
            "address_2": "STE 105",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121797",
            "telephone_number": "425-385-2009",
            "fax_number": "425-939-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15906 MILL CREEK BLVD",
            "address_2": "STE 105",
            "city": "MILL CREEK",
            "state": "WA",
            "postal_code": "980121797",
            "telephone_number": "425-385-2009",
            "fax_number": "425-939-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "JOY",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-01",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0102201216",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AK",
            "license": "6867",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "OP 60212402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD1434",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Creek, WA

Sources for this page

Verify at the official NPI Registry.