Active NPI
Shari L Wootten, NP
- Gerontology Nurse Practitioner
- Bremerton, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP60598224
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2138006 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
2512 Wheaton Way
Suite a
Bremerton, WA 98310-3303
Phone (360) 479-8022
Hospital & facility affiliations
- St Michael Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Vpa PC | Past | Accepting new patients | |
| Tidewater Medical Care PC | Past | 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
- 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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Internal Medicine Physician
- Bremerton, WA
- NPI 1154564649
-
- Family Medicine Physician
- Tacoma, WA
- NPI 1366539421
-
- Family Medicine Physician
- Gig Harbor, WA
- NPI 1386602555
-
- Family Medicine Physician
- Virginia Beach, VA
- NPI 1053558981
-
- Family Medicine Physician
- Brentwood, TN
- NPI 1578363362
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silverdale, WA
- NPI 1518912609
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.