Individual provider Active NPI

Shari L Wootten, NP

  • Gerontology Nurse Practitioner
  • Bremerton, WA
National Provider Identifier
1295826154
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP60598224 Issued in WA
Practice address
2512 Wheaton Way Ste a
Bremerton, WA 98310-3303
Phone
(360) 782-5700
Fax
(253) 984-2049
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X APN.0991237-NP CO
Gerontology Nurse Practitioner 363LG0600X AP60598224 WA Primary

Addresses

Primary practice location

2512 Wheaton Way Ste a
Bremerton, WA 98310-3303

Mailing address

2512 Wheaton Way Ste a
Bremerton, WA 98310-3303
Phone (360) 782-5700

Other identifiers 1

IdentifierTypeStateIssuer
2138006MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swootten311236@fhsce.catholichealth.net Direct

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
I20190117000093 WA Practitioner - Nurse Practitioner 7012016785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

2512 Wheaton Way
Suite a
Bremerton, WA 98310-3303
Phone (360) 479-8022

Hospital & facility affiliations

  • St Michael Medical Center Hospital, Silverdale, WA, CCN 500039

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince Nov 7, 2018 Accepting new patients
Franciscan Medical Group CurrentSince Nov 7, 2018 Accepting new patients
Vpa PC PastSince Mar 11, 2013 Accepting new patients
Tidewater Medical Care PC PastSince Aug 28, 2024 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

2512 Wheaton Way
Ste A
Bremerton, WA 98310
Phone (253) 539-4200

19917 7th Ave NE
Ste 210
Poulsbo, WA 98370
Phone (360) 479-8022

1950 NW Myhre Rd
Fl 2
Silverdale, WA 98383
Phone (564) 240-4000

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

Interoperability endpoints

  • Direct secure messaging: swootten311236@fhsce.catholichealth.net

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1295826154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 WHEATON WAY STE A",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103303",
            "telephone_number": "360-782-5700",
            "fax_number": "253-984-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 WHEATON WAY STE A",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103303",
            "telephone_number": "360-782-5700",
            "fax_number": "253-984-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTTEN",
        "first_name": "SHARI",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "APN.0991237-NP",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "WA",
            "license": "AP60598224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2138006",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swootten311236@fhsce.catholichealth.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2512 Wheaton Way Ste A",
            "city": "Bremerton",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983103303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.