Individual provider Active NPI

Mary Elizabeth Bachko, ADVANCE PRACTICE REG

  • Nurse Practitioner
  • Colville, WA
National Provider Identifier
1265416135
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60003928 Issued in WA
Practice address
150 S Elm St
Colville, WA 99114-2834
Phone
(509) 684-3584
Fax
(509) 684-3852
NPI assigned
Dec 2, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X AP30003374 WA
DoulaGroup: 193200000X MULTI-SPECIALTY GROUP 374J00000X
Nurse Practitioner 363L00000X AP60003928 WA Primary

Addresses

Primary practice location

150 S Elm St
Colville, WA 99114-2834

Mailing address

150 S Elm St
Colville, WA 99114-2834
Phone (509) 684-3584

Other practice location 1

158 E 1st Ave
Colville, WA 99114-2802
Phone (509) 684-3584

Other practice location 2

205 S Park St
Chewelah, WA 99109
Phone (509) 936-9159

Other identifiers 1

IdentifierTypeStateIssuer
9617069OtherWADSHS #

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
I20140616001330 WA Practitioner - Nurse Practitioner 0941243984 Reassigns benefits to 1 organization
Practice locations: Spokane Valley, WA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

826 N Mullan Rd
Suite B
Spokane Valley, WA 99206-4094
Phone (509) 342-7411

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30003374WAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Mary E Bachko Arnp, PLLC Multi-Specialty Current Accepting new patients
Multicare Health System Multi-Specialty Current Accepting new patients
Mary E Bachko Advanced Practice Midwife CurrentSince Oct 23, 2022 Accepting new patients
Multicare Health System Nurse Practitioner CurrentSince Apr 27, 2020 Accepting new patients
Multicare Health System CurrentSince Apr 27, 2020 Accepting new patients
Mary E Bachko, Arnp, PLLC Multi-Specialty PastSince Jan 26, 2016 Accepting new patients
Doctors Clinic of Spokane Multi-Specialty Past Accepting new patients
Center for Womens Health at Evergreen Multi-Specialty Past Accepting new patients

Locations

158 E 1st Ave
Colville, WA 99114
Phone (509) 675-1447

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11661/brand/1/csg/1/fhir/r4
  • Direct secure messaging: mary.bachko.1@11661.direct.athenahealth.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1133481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1265416135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 S ELM ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142834",
            "telephone_number": "509-684-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S ELM ST",
            "city": "COLVILLE",
            "state": "WA",
            "postal_code": "991142834",
            "telephone_number": "509-684-3584",
            "fax_number": "509-684-3852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "158 E 1st Ave",
            "address_purpose": "LOCATION",
            "city": "Colville",
            "state": "WA",
            "postal_code": "991142802",
            "country_code": "US",
            "telephone_number": "509-684-3584",
            "fax_number": "509-684-3852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 S Park St",
            "address_purpose": "LOCATION",
            "city": "Chewelah",
            "state": "WA",
            "postal_code": "99109",
            "country_code": "US",
            "telephone_number": "509-936-9159",
            "fax_number": "509-936-9160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BACHKO",
        "first_name": "MARY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "ADVANCE PRACTICE REG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-02",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": "WA",
            "license": "AP30003374",
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60003928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS #",
            "identifier": "9617069",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colville, WA

Sources for this page

Verify at the official NPI Registry.