Active NPI
Brandy Lee Wiltermuth, AP
- Nurse Practitioner
- Lynnwood, WA
National Provider Identifier
1285865402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP60226772
- Practice address
- 3500 188TH St SW Ste 250
Lynnwood, WA 98037-4757 - Phone
- (425) 606-0022
- NPI assigned
- Aug 5, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP60226772 | WA | Primary |
Addresses
Primary practice location
3500 188TH St SW Ste 250
Lynnwood, WA 98037-4757
Mailing address
3500 188TH St SW Ste 250
Lynnwood, WA 98037-4757
Phone (425) 606-0022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP60226772 | Other | WA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connect Primary Care LLC | Current | Accepting new patients | |
| Three.Health, Inc | Nurse Practitioner | Current | Accepting new patients |
| Northstar Associates, PLLC | Past | Accepting new patients | |
| Northstar Associates | Past | Accepting new patients |
Locations
3500 188th St SW
Ste 250
Lynnwood, WA 98037
Phone (425) 236-4203
19324 40th Ave W
Ste B
Lynnwood, WA 98036
Phone (425) 606-0022
Interoperability endpoints
- brandy.wiltermuth@204566077505540.direct.elationemr.com
- https://api.platform.athenahealth.com/1250/brand/1/csg/1/fhir/r4
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.
-
- Nurse Practitioner
- Lynnwood, WA
- NPI 1790662450
-
- Primary Care Clinic/Center
- Lynnwood, WA
- NPI 1134996721
-
- Sleep Disorder Diagnostic Clinic/Center
- Bellingham, WA
- NPI 1386658151
-
- Sleep Disorder Diagnostic Clinic/Center
- Bellingham, WA
- NPI 1912921586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759017600000",
"number": "1285865402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 188TH ST SW STE 250",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980374757",
"telephone_number": "425-606-0022",
"fax_number": "425-616-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 188TH ST SW STE 250",
"city": "LYNNWOOD",
"state": "WA",
"postal_code": "980374757",
"telephone_number": "425-606-0022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILTERMUTH",
"first_name": "BRANDY",
"middle_name": "LEE",
"credential": "AP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-05",
"last_updated": "2025-09-28",
"certification_date": "2025-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP60226772",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "AP60226772",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynnwood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.