Individual provider Active NPI

Alyse Mullon Tumelson, APRN, FNP-C

  • Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1386291912
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP142723 Issued in TX
Practice address
1220 Main St Ste 400
Vancouver, WA 98660-2963
Phone
(713) 597-5114
Fax
(888) 973-8821
NPI assigned
Aug 19, 2019
Last updated
May 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 116821 NE
Nurse Practitioner 363L00000X C-APN.0102392-C-NP CO
Nurse Practitioner 363L00000X AP142723 TX Primary
Nurse Practitioner 363L00000X 53-85478-091 KS
Nurse Practitioner 363L00000X 14279480-4405 UT
Nurse Practitioner 363L00000X 209035630 IL
Nurse Practitioner 363L00000X LG-0013819 DE
Nurse Practitioner 363L00000X 289332 AZ
Nurse Practitioner 363L00000X AP61537410 WA
Nurse Practitioner 363L00000X APRN-5793 HI
Nurse Practitioner 363L00000X 10034573 OR
Nurse Practitioner 363L00000X 89253 NM
Nurse Practitioner 363L00000X 2025008235 MO
Nurse Practitioner 363L00000X 4054506 KY
Nurse Practitioner 363L00000X APRN11046768 FL

Addresses

Primary practice location

1220 Main St Ste 400
Vancouver, WA 98660-2963

Mailing address

PO Box 211699
Eagan, MN 55121-3699
Phone (866) 849-0692

Other names 1

  • Alyse Marie Mullon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AZ, OR, CO, WA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20191025000742 TX Practitioner - Nurse Practitioner 5799017679 Reassigns benefits to 1 organization
I20240207003665 AZ Practitioner - Nurse Practitioner 5799017679 Reassigns benefits to 1 organization
I20241125003047 OR Practitioner - Nurse Practitioner 5799017679 Reassigns benefits to 1 organization
I20241127001234 CO Practitioner - Nurse Practitioner 5799017679 Reassigns benefits to 1 organization
I20250505003305 WA Practitioner - Nurse Practitioner 5799017679 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LG-0013819DEMDNurse Practitioner
APRN11046768FLMDNurse Practitioner
APRN-5793HIMDNurse Practitioner
209035630ILMDNurse Practitioner
53-85478-091KSMDNurse Practitioner
4054506KYMDNurse Practitioner
2025008235MOMDNurse Practitioner
116821NEMDNurse Practitioner
89253NMMDNurse Practitioner
10034573ORMDNurse Practitioner
14279480-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Devoted Medical Group Professional Corporation CurrentSince Jan 30, 2024 Accepting new patients
Devoted Medical Group of Texas Inc CurrentSince Nov 1, 2022 Accepting new patients

Locations

16435 N Scottsdale Rd
Ste 285
Scottsdale, AZ 85254
Phone (520) 346-4431

4145 SW Watson Ave
Ste 350
Beaverton, OR 97005
Phone (503) 728-8546

1201 Fannin St
Ste 262
Houston, TX 77002
Phone (714) 873-6202

20405 State Highway 249
Ste 325
Houston, TX 77070
Phone (713) 597-5114

1220 Main St
Ste 400
Vancouver, WA 98660
Phone (360) 859-4886

Organizations & group practices 2

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779321600000",
    "number": "1386291912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211699",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551213699",
            "telephone_number": "866-849-0692",
            "fax_number": "888-973-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 MAIN ST STE 400",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986602963",
            "telephone_number": "713-597-5114",
            "fax_number": "888-973-8821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMELSON",
        "first_name": "ALYSE",
        "middle_name": "MULLON",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "116821",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "C-APN.0102392-C-NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP142723",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-85478-091",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "14279480-4405",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209035630",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0013819",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "289332",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61537410",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-5793",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "10034573",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "89253",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2025008235",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "4054506",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11046768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSE",
            "last_name": "MULLON",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.