Individual provider Active NPI

Janelle Peranteau, FNP

  • Family Nurse Practitioner
  • Anacortes, WA
National Provider Identifier
1396517165
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61500338 Issued in WA
Practice address
1213 24TH St Ste 100
Anacortes, WA 98221-2595
Phone
(360) 293-3101
NPI assigned
Oct 25, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP61500338 WA Primary

Addresses

Primary practice location

1213 24TH St Ste 100
Anacortes, WA 98221-2595

Mailing address

13736 Seaview Way
Anacortes, WA 98221-8297

Other names 1

  • Janelle Tarter Former name

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
I20231116001429 WA Practitioner - Nurse Practitioner 3678920477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1213 24TH St
Suite 100
Anacortes, WA 98221-2595
Phone (360) 293-3101

2600 Compass Rd
Glenview, IL 60026-8001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61500338WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 2 Skagit County Washington CurrentSince Dec 1, 2023 Accepting new patients
Public Hospital District No 2 Skagit County Washington CurrentSince Dec 1, 2023 Accepting new patients
Public Hospital District No 2 Skagit County Washington Current Accepting new patients
Public Hospital District No 2 Skagit County Washington Past Accepting new patients

Locations

1015 25th St
Lowr
Anacortes, WA 98221

1015 25th St
Ste 100
Anacortes, WA 98221

1211 24th St
Anacortes, WA 98221
Phone (360) 293-3181

1213 24th St
Ste 100
Anacortes, WA 98221
Phone (360) 293-3101

2511 M Ave
Ste B
Anacortes, WA 98221
Phone (360) 293-3101

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698192000000",
    "number": "1396517165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13736 SEAVIEW WAY",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982218297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 24TH ST STE 100",
            "city": "ANACORTES",
            "state": "WA",
            "postal_code": "982212595",
            "telephone_number": "360-293-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERANTEAU",
        "first_name": "JANELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61500338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELLE",
            "last_name": "TARTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anacortes, WA

Sources for this page

Verify at the official NPI Registry.