Individual provider Active NPI

Nancy F Roope, PMHNP-BC, LMSW

  • Psychiatric/Mental Health Nurse Practitioner
  • Everett, WA
National Provider Identifier
1316151368
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP61190903 Issued in WA
Practice address
1728 W Marine View Dr
Everett, WA 98201-2094
Phone
(425) 339-5453
Fax
(425) 252-4441
NPI assigned
May 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X M-4129 NM
Nurse Practitioner 363L00000X CNP-03537 NM
Nurse Practitioner 363L00000X AP61190903 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP61190903 WA Primary

Addresses

Primary practice location

1728 W Marine View Dr
Everett, WA 98201-2094

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 304-8431

Other practice location 1

11400 SE 6th St
Bellevue, WA 98004-6423
Phone (425) 650-1122

Other identifiers 1

IdentifierTypeStateIssuer
50086375MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180529001336 NM Practitioner - Nurse Practitioner 8426313230 Reassigns benefits to 2 organizations
I20220829001509 WA Practitioner - Nurse Practitioner 8426313230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians

Practice addresses (Care Compare)

1728 W Marine View Dr
Everett, WA 98201-2094
Phone (425) 259-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
M-4129NMMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Neuroscience Center Inc CurrentSince Nov 1, 2020 Accepting new patients
The Polyclinic PLLC CurrentSince Sep 12, 2022 Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 29, 2022 Accepting new patients
Behavioral Healthcare Services, Inc. CurrentSince Apr 14, 2018 Accepting new patients
The Polyclinic PLLC CurrentSince Sep 12, 2022 Accepting new patients
Optum Care Washington PLLC CurrentSince Aug 29, 2022 Accepting new patients
Behavioral Healthcare Services, Inc. Current Accepting new patients
The Polyclinic PLLC Past Accepting new patients

Locations

707 Broadway Blvd NE
Ste 500
Albuquerque, NM 87102
Phone (505) 248-2726

7850 Jefferson St NE
Ste 300
Albuquerque, NM 87109
Phone (505) 884-1114

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1728 W Marine View Dr
Everett, WA 98201
Phone (425) 252-9216

1145 Broadway
Seattle, WA 98122

904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900

Interoperability endpoints

  • Direct secure messaging: nroope67379@direct.tecmc.com

Organizations & group practices 8

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": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1316151368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-304-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1728 W MARINE VIEW DR",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012094",
            "telephone_number": "425-339-5453",
            "fax_number": "425-252-4441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11400 SE 6th St",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980046423",
            "country_code": "US",
            "telephone_number": "425-650-1122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOPE",
        "first_name": "NANCY",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "M-4129",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-03537",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61190903",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP61190903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50086375",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.