Individual provider Active NPI

Mary Ellen Biggerstaff, ARNP

  • Family Nurse Practitioner
  • Elma, WA
National Provider Identifier
1366775652
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60102544 Issued in WA
Practice address
600 E. Main Street
Elma, WA 98541
Phone
(360) 495-3244
Fax
(360) 495-3364
NPI assigned
Sep 17, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grays Harbor County Public Hospital District No 1 62 clinicians

Practice addresses (Care Compare)

579 E Main St
Elma, WA 98541-9551
Phone (360) 346-2222

600 E Main St
Elma, WA 98541-9560
Phone (360) 346-2222

610 E Main St
Elma, WA 98541-9353
Phone (360) 346-2222

Hospital & facility affiliations

  • Summit Pacific Medical Center Hospital, Elma, WA, CCN 501304

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
I20100128000272 WA Practitioner - Nurse Practitioner 4789726787 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grays Harbor County Public Hospital District No 1 CurrentSince Oct 22, 2009 Accepting new patients
Grays Harbor County Public Hospital District No 1 CurrentSince Oct 22, 2009 Accepting new patients
Capital Clubhouse PastSince Dec 1, 2019 Accepting new patients

Locations

600 E Main St
Elma, WA 98541
Phone (360) 346-2222

610 E Main St
Elma, WA 98541
Phone (360) 346-2222

105 W Simpson Ave
McCleary, WA 98557
Phone (360) 346-2222

Interoperability endpoints

  • Direct secure messaging: mbiggerstaff395708@wm.providencedirect.org
  • Direct secure messaging: mbigger001@direct.sp-mc.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60102544 WA Primary

Addresses

NPPES NPI Registry

Primary practice location

600 E. Main Street
Elma, WA 98541

Mailing address

600 E. Main Street
Elma, WA 98541
Phone (360) 495-3244

Other practice location 1

1011 10th Ave SE
Olympia, WA 98501-1566
Phone (360) 349-0033

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 13, 2023.

{
    "created_epoch": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1366775652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E. MAIN STREET",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "98541",
            "telephone_number": "360-495-3244",
            "fax_number": "360-495-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E. MAIN STREET",
            "city": "ELMA",
            "state": "WA",
            "postal_code": "98541",
            "telephone_number": "360-495-3244",
            "fax_number": "360-495-3364"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 10th Ave SE",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985011566",
            "country_code": "US",
            "telephone_number": "360-349-0033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIGGERSTAFF",
        "first_name": "MARY ELLEN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-17",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60102544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elma, WA

Sources for this page

Verify at the official NPI Registry.