Individual provider Active NPI

Megan Wilbert

  • Family Nurse Practitioner
  • Shoreline, WA
National Provider Identifier
1376942227
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
60503186 Issued in WA
Practice address
16549 Aurora Ave N
Shoreline, WA 98133-5308
Phone
(206) 533-2600
NPI assigned
Aug 16, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN60365850 WA
Family Nurse Practitioner 363LF0000X F0914411 WA
Family Nurse Practitioner 363LF0000X 60503186 WA Primary

Addresses

Primary practice location

16549 Aurora Ave N
Shoreline, WA 98133-5308

Mailing address

PO Box 3007
Seattle, WA 98114-3007
Phone (206) 788-3616

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
I20141118001408 WA Practitioner - Nurse Practitioner 3072735554 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

720 8TH Ave S
Suite 100
Seattle, WA 98104-3033
Phone (206) 788-3700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN60365850WAMDRegistered Nurse
60503186WAMDFamily Nurse Practitioner
F0914411WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
International Community Health Services Current Accepting new patients
International Community Health Services CurrentSince Oct 15, 2014 Accepting new patients
International Community Health Services CurrentSince Oct 15, 2014 Accepting new patients

Locations

3815 S Othello St
Fl 2
Seattle, WA 98118
Phone (206) 788-3500

720 8th Ave S
Seattle, WA 98104
Phone (206) 788-3770

16549 Aurora Ave N
Shoreline, WA 98133
Phone (206) 533-2600

Interoperability endpoints

  • Direct secure messaging: mwilbert1186607@wm.providencedirect.org

Organizations & group practices 3

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": "1408147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1376942227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3007",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981143007",
            "telephone_number": "206-788-3616",
            "fax_number": "206-652-5216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16549 AURORA AVE N",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981335308",
            "telephone_number": "206-533-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBERT",
        "first_name": "MEGAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-16",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60365850",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "F0914411",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "60503186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shoreline, WA

Sources for this page

Verify at the official NPI Registry.