Individual provider Active NPI

Michelle N Lew, ARNP

  • Family Nurse Practitioner
  • Bellevue, WA
National Provider Identifier
1326457466
Registry record updated Sep 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60468881 Issued in WA
Practice address
12917 SE 38TH St Ste 100
Bellevue, WA 98006-1349
Phone
(425) 641-4000
Fax
(206) 320-5840
NPI assigned
Aug 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60120404 WA
Family Nurse Practitioner 363LF0000X AP60468881 WA Primary

Addresses

Primary practice location

12917 SE 38TH St Ste 100
Bellevue, WA 98006-1349

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other identifiers 1

IdentifierTypeStateIssuer
1326457466MedicaidWA

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
I20141231001944 WA Practitioner - Nurse Practitioner 9931422730 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peacehealth Networks on Demand LLCGroup PAC ID 1759731383, 197 clinicians

Practice addresses (Care Compare)

10541 NE 4TH St
Bellevue, WA 98004-5023
Phone (864) 664-3984

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60120404WAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth Networks on Demand, LLC CurrentSince May 1, 2024 Accepting new patients
Zoomcare Urgent Care LLC CurrentSince Apr 12, 2024 Accepting new patients
Sea Mar Community Health Centers CurrentSince Sep 20, 2014 Accepting new patients
Sea Mar Community Health Centers Registered Nurse CurrentSince Sep 20, 2014 Accepting new patients
Sea Mar Community Health Centers Family Current Accepting new patients
Zoomcare PC Past Accepting new patients

Locations (25 of 30)

10541 NE 4th St
Bellevue, WA 98004
Phone (954) 881-4151

10425 NE 8th St
Bellevue, WA 98004

24118 Bothell Everett Hwy
Unit 200
Bothell, WA 98021

17017 SE 270th Pl
Ste C113
Covington, WA 98042

22019 Highway 99
Ste 120
Edmonds, WA 98026

221 Everett Mall Way
Unit M3
Everett, WA 98204

19220 Alderwood Mall Pkwy
Ste 145
Lynnwood, WA 98036

17707 W Main St
Fl 1
Monroe, WA 98272
Phone (360) 282-3885

2010 148th Ave NE
Ste 150
Redmond, WA 98052

2150 148th Ave NE
Redmond, WA 98052

711 228th Ave NE
Sammamish, WA 98074

4540 University Way NE
Seattle, WA 98105

4555 Stone Way N
Seattle, WA 98103
Phone (206) 973-4264

4012 SW Alaska St
Seattle, WA 98116

1909 Queen Anne Ave N
Seattle, WA 98109

116 Westlake Ave N
Seattle, WA 98109

624 N 34th St
#104
Seattle, WA 98103

2301 2nd Ave
Seattle, WA 98121
Phone (398) 486-4664

517 Union St
Seattle, WA 98101

531 Broadway E
Ste 10
Seattle, WA 98102

624 N 34th St
Unit 104
Seattle, WA 98103

2038 NW Market St
Seattle, WA 98107

1570 W Armory Way
Ste 102
Seattle, WA 98119

2036 NW Market St
Seattle, WA 98107

15911 Westminster Way N
Shoreline, WA 98133

Interoperability endpoints

  • Direct secure messaging: michelle.lew.1@30646.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1406937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1326457466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12917 SE 38TH ST STE 100",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980061349",
            "telephone_number": "425-641-4000",
            "fax_number": "206-320-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEW",
        "first_name": "MICHELLE",
        "middle_name": "N",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-02",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60120404",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60468881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326457466",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.