Active NPI
Micahlyn Marie Powers, MD
- Family Medicine Physician
- Ferndale, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD60335430
- Practice address
- 5580 Nordic Way
Ferndale, WA 98248 - Phone
- (360) 384-1511
- Fax
- (360) 384-5758
- NPI assigned
- Jun 23, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD60335430 | WA | Primary |
Addresses
Primary practice location
5580 Nordic Way
Ferndale, WA 98248
Mailing address
5580 Nordic Way
Ferndale, WA 98248
Phone (360) 384-1511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2029380 | Medicaid | WA | |
| 0322502 | Other | WA | LABOR AND INDUSTRIES |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
715 W Orchard Dr
Suite 4
Bellingham, WA 98225-1767
Phone (360) 746-3850
Hospital & facility affiliations
- Eden Home Health
- Peacehealth St Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD60335430 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Network PLLC | Current | Accepting new patients | |
| Family Care Network PLLC | Family Medicine | Current | Accepting new patients |
| Community Health of Central Washington | Family Medicine | Current | Accepting new patients |
| Community Health of Central Washington | Current | Accepting new patients | |
| Family Care Network PLLC | Family Medicine | Current | Accepting new patients |
| Peacehealth | Past | Accepting new patients |
Locations
521 E Mountain View Ave
Ellensburg, WA 98926
Phone (509) 962-1414
1610 Grover St
Ste D1
Lynden, WA 98264
Phone (360) 312-3785
1806 W Lincoln Ave
Yakima, WA 98902
Phone (509) 452-4520
501 S 5th Ave
Yakima, WA 98902
Phone (509) 494-6700
Interoperability endpoints
- mpowers19713@direct.fcn.net
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.
-
- Family Medicine Physician
- Bellingham, WA
- NPI 1427001015
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1598764920
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Tieton, WA
- NPI 1700255874
-
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1467990077
-
- Family Medicine Physician
- Bellingham, WA
- NPI 1558952150
-
- Rural Acute Care Hospital
- Bellingham, WA
- NPI 1487904546
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Bellingham, WA
- NPI 1316031230
-
- Rural Acute Care Hospital
- Bellingham, WA
- NPI 1487904546
-
- General Acute Care Hospital
- Bellingham, WA
- NPI 1689677320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1366753428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5580 NORDIC WAY",
"city": "FERNDALE",
"state": "WA",
"postal_code": "98248",
"telephone_number": "360-384-1511",
"fax_number": "360-384-5758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5580 NORDIC WAY",
"city": "FERNDALE",
"state": "WA",
"postal_code": "98248",
"telephone_number": "360-384-1511",
"fax_number": "360-384-5758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWERS",
"first_name": "MICAHLYN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-23",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD60335430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2029380",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR AND INDUSTRIES",
"identifier": "0322502",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ferndale, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.