Individual provider Active NPI

Marchell Rene Spielmann, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Olympia, WA
National Provider Identifier
1336240902
Registry record updated Sep 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30007487 Issued in WA
Practice address
1546 Reservation Rd SE
Olympia, WA 98513-9415
Phone
(253) 565-0130
Fax
(253) 565-0130
NPI assigned
Sep 26, 2006
Last updated
Sep 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Nurse Practitioner 363LC1500X AP30007487 WA
Family Nurse Practitioner 363LF0000X AP30007487 WA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP30007487 WA Primary

Addresses

Primary practice location

1546 Reservation Rd SE
Olympia, WA 98513-9415

Mailing address

1546 Reservation Rd SE
Olympia, WA 98513-9415
Phone (253) 565-0130

Other practice location 1

3640 S Cedar St
Tacoma, WA 98409-5700
Phone (253) 231-2292

Other practice location 2

800 S Meridian Ste A&b
Puyallup, WA 98371-6995
Phone (253) 235-5216

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
I20210512000307 WA Practitioner - Nurse Practitioner 1951302876 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30007487WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance for South Sound Health CurrentSince Mar 24, 2021 Accepting new patients
VM Provision Care LLC Past Accepting new patients
Recovery Innovations, Inc PastSince Dec 1, 2020 Accepting new patients

Locations

3402 S 19th St
Tacoma, WA 98405
Phone (253) 301-5400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632182400000",
    "number": "1336240902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1546 RESERVATION RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985139415",
            "telephone_number": "253-565-0130",
            "fax_number": "253-565-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1546 RESERVATION RD SE",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985139415",
            "telephone_number": "253-565-0130",
            "fax_number": "253-565-0130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3640 S Cedar St",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984095700",
            "country_code": "US",
            "telephone_number": "253-231-2292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Meridian Ste A&b",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983716995",
            "country_code": "US",
            "telephone_number": "253-235-5216",
            "fax_number": "253-944-1750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPIELMANN",
        "first_name": "MARCHELL",
        "middle_name": "RENE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-09-21",
        "certification_date": "2021-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "WA",
            "license": "AP30007487",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007487",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WA",
            "license": "AP30007487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.