Individual provider Active NPI

Wendy Marie Wheeler, A.R.N.P., C.N.M

  • Nurse Practitioner
  • Bothell, WA
National Provider Identifier
1316017205
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30004427 Issued in WA
Practice address
10808 NE 145TH St
Bothell, WA 98011
Phone
(206) 296-9814
Fax
(206) 296-9826
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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 AP30004427 WA Primary

Addresses

Primary practice location

10808 NE 145TH St
Bothell, WA 98011

Mailing address

20038 NE 192ND St
Woodinville, WA 98077-8845
Phone (425) 788-8110

Other identifiers 3

IdentifierTypeStateIssuer
9621806MedicaidWA
AP30004427OtherWAARNP
RN00108981OtherWARN

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
I20100630000353 WA Practitioner - Nurse Practitioner 9133250491 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30004427WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
King County Finance CurrentSince Dec 14, 2015 Accepting new patients
King County Finance CurrentSince Dec 14, 2015 Accepting new patients
Seattle King Co Dept of Public Health Past Accepting new patients

Locations

25742 104th Ave SE
Kent, WA 98030
Phone (206) 263-0540

401 5th Ave
Ste 1000
Seattle, WA 98104
Phone (206) 263-8298

2124 4th Ave
Seattle, WA 98121
Phone (206) 296-4755

401 5th Ave
Ste 1200
Seattle, WA 98104
Phone (206) 205-5975

Interoperability endpoints

  • Direct secure messaging: wwheeler133773@direct.ochin.org

Organizations & group practices 3

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316017205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20038 NE 192ND ST",
            "city": "WOODINVILLE",
            "state": "WA",
            "postal_code": "980778845",
            "telephone_number": "425-788-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10808 NE 145TH ST",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "98011",
            "telephone_number": "206-296-9814",
            "fax_number": "206-296-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "WENDY",
        "middle_name": "MARIE",
        "credential": "A.R.N.P., C.N.M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30004427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9621806",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP",
            "identifier": "AP30004427",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "RN00108981",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.