Nicole Avila-Parker, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Moses Lake, WA
NPI 1295192540 · NPPES record last updated Jan 11, 2022
Key facts
- NPI
- 1295192540
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- AP60633381 (WA)
- Practice address
- 1550 S Pioneer Way Ste 165
Moses Lake, WA 98837-4637 - Phone
- (509) 793-9780
- Fax
- (509) 764-3244
- NPI assigned
- Jan 18, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1800 S Clover Dr
Suite 2
Moses Lake, WA 98837-9759
Phone (509) 289-2654
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160329002750 | WA | Practitioner - Nurse Practitioner | 9032416474 |
Reassigns benefits to 2 organizations Practice locations: Moses Lake, WA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wenatchee Valley Hospital | Current |
Accepting new patients | |
| Compass Health | Current |
Accepting new patients | |
| Lightening the Load Counseling PLLC | Past |
Accepting new patients |
Locations
840 E Hill Ave
Moses Lake, WA 98837
Phone (509) 764-6400
17 S Western Ave
Tonasket, WA 98855
Phone (509) 486-2174
820 N Chelan Ave
Wenatchee, WA 98801
Phone (509) 863-4868
Interoperability endpoints
- nicoleavilaparkerpllc.nicoleavilaparker@156898.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60633381 | WA | Yes |
Addresses
Primary practice location
1550 S Pioneer Way Ste 165
Moses Lake, WA 98837-4637
Mailing address
660 S Coolidge St
Moses Lake, WA 98837-1872
Phone (509) 493-9715
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G8985877 | Other | WA | MEDICARE PIN |
| P01626675 | Other | WA | RR MEDICARE WVH |
| 1295192540 | Medicaid | WA | |
| 2056200 | Medicaid | WA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | navilaparker1203519@wm.providencedirect.org | Direct |
Other providers in Moses Lake, WA
- Jeffrey George Atkinson
- Steven Glenn Ausere
- Julia Austin
- Autism Therapy Services of Moses Lake, LLC
- Autism Therapy Solutions at Parkview LLC
- Jason F Avila
- Alan R Badgley
- Gisela Badillo
- Kim A Bailey
- Lisa Renee Ballard
All providers in Moses Lake, WA · Psychiatric/Mental Health Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.