Individual provider Active NPI

Brandy Lee Wiltermuth, AP

  • Nurse Practitioner
  • Lynnwood, WA
National Provider Identifier
1285865402
Registry record updated Sep 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60226772 Issued in WA
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

Updated by the provider on Sep 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AP60226772OtherWAMEDICAL 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

OrganizationSpecialtyStatusNew patients
Connect Primary Care LLC CurrentSince Oct 5, 2025 Accepting new patients
Three.Health, Inc Nurse Practitioner CurrentSince Oct 5, 2025 Accepting new patients
Northstar Associates, PLLC PastSince Jul 5, 2005 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

  • Direct secure messaging: brandy.wiltermuth@204566077505540.direct.elationemr.com
  • FHIR API: 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.

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.

Verify at the official NPI Registry.