Active NPI
Gabe Raphael Wortman, ARNP
- Family Nurse Practitioner
- Everson, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61598757
- Practice address
- 6884 Hannegan Rd
Everson, WA 98247-9637 - Phone
- (360) 354-0766
- Fax
- (360) 354-7667
- NPI assigned
- Aug 19, 2024
- Last updated
- Nov 13, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61598757 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP61598757 | WA | Primary |
Addresses
Primary practice location
6884 Hannegan Rd
Everson, WA 98247-9637
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other practice location 1
1112 S Cushman Ave
Tacoma, WA 98405-3631
Phone (253) 593-2144
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6884 Hannegan Rd
Everson, WA 98247-9637
Phone (360) 354-0766
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Nurse Practitioner | Current | Accepting new patients |
| Sea Mar Community Health Centers | Nurse Practitioner | Current | Accepting new patients |
| Sea Mar Community Health Centers | Current | Accepting new patients |
Locations
6884 Hannegan Rd
Everson, WA 98247
Phone (360) 354-0766
1112 S Cushman Ave
Tacoma, WA 98405
Phone (253) 593-2144
Interoperability endpoints
- gwortman731915@direct.multicare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sea Mar Community Health Center
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Nurse Practitioner
-
- Federally Qualified Health Center (FQHC)
- Tacoma, WA
- NPI 1104974419
Nurse Practitioner
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1386476026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6884 HANNEGAN RD",
"city": "EVERSON",
"state": "WA",
"postal_code": "982479637",
"telephone_number": "360-354-0766",
"fax_number": "360-354-7667"
}
],
"practiceLocations": [
{
"address_1": "1112 S Cushman Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984053631",
"country_code": "US",
"telephone_number": "253-593-2144",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WORTMAN",
"first_name": "GABE",
"middle_name": "RAPHAEL",
"name_prefix": "Mr.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-19",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61598757",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61598757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Everson, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; 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.