Active NPI
Northwest Health & Healing PLLC
Doing business as Northwest Health & Healing
- Family Nurse Practitioner
- Stanwood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- NORTHWEST HEALTH & HEALING PLLC
- Doing business as
- Northwest Health & Healing
- Practice address
- 7202 267TH St NW Ste 104
Stanwood, WA 98292-6270 - Phone
- (425) 263-1189
- Fax
- (833) 428-3954
- NPI assigned
- Apr 25, 2024
- Last updated
- Jan 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- George Nicolaas Wagner
- Title
- Practice Manager
- Phone
- (425) 299-3365
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | |||
| General Practice Registered Nurse | 163WG0000X |
Addresses
Primary practice location
7202 267TH St NW Ste 104
Stanwood, WA 98292-6270
Mailing address
PO Box 808
Stanwood, WA 98292-0808
Phone (425) 263-1189
Other names 1
- Northwest Health & Healing
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D2304577 | Northwest Health and Healing | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider DirectoryLocations
7202 267th St NW
Ste 104
Stanwood, WA 98292
Phone (425) 263-1189
9229 271st St NW
Unit 808
Stanwood, WA 98292
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Stanwood, WA
- NPI 1477160737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736812800000",
"number": "1366298861",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 808",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982920808",
"telephone_number": "425-263-1189",
"fax_number": "833-428-3954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7202 267TH ST NW STE 104",
"city": "STANWOOD",
"state": "WA",
"postal_code": "982926270",
"telephone_number": "425-263-1189",
"fax_number": "833-428-3954"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHWEST HEALTH & HEALING PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-25",
"last_updated": "2025-01-14",
"certification_date": "2025-01-14",
"status": "A",
"authorized_official_last_name": "WAGNER",
"authorized_official_first_name": "GEORGE",
"authorized_official_middle_name": "NICOLAAS",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "425-299-3365"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Northwest Health & Healing",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Northwest Health & Healing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stanwood, WA
- Timothy Joseph Nixon, OD
- North Cascade Eye Associates PS
- North County Regional Fire Authority
- Leah Marie Northrup
- Northsound Physical Therapy, Inc.
- NSPT, Inc. (NorthSound Physical Therapy)
- John Cary Copley Nuez
- NW Audiology, Inc. (Stanwood Camano Hearing Center)
- Hayley Marie O'Donnell
- Serena Elizabeth O'Dwyer, CD(DONA)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.