Individual provider Active NPI

Michelle Jean Strojan

  • Family Nurse Practitioner
  • Lacey, WA
National Provider Identifier
1407489974
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61207245 Issued in WA
Practice address
4525 3Rd Ave SE
Lacey, WA 98503-1010
Phone
(360) 754-3934
Fax
(360) 943-8023
NPI assigned
Feb 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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 AP61207245 WA Primary

Addresses

Primary practice location

4525 3Rd Ave SE
Lacey, WA 98503-1010

Mailing address

4525 3Rd Ave SE
Lacey, WA 98503-1010
Phone (360) 754-3934

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
I20211118002372 WA Practitioner - Nurse Practitioner 3173912870 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Medical Specialties PLLCGroup PAC ID 8022903384, 37 clinicians

Practice addresses (Care Compare)

1624 S I St
Suite 105
Tacoma, WA 98405-5029
Phone (253) 428-8700

Hospital & facility affiliations

  • Providence Centralia Hospital Hospital, Centralia, WA, CCN 500019
  • St Francis Community Hospital Hospital, Federal Way, WA, CCN 500141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61207245WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Medical Specialties PLLC CurrentSince Jun 1, 2025 Accepting new patients
Providence Health & Services Washington CurrentSince Nov 22, 2021 Accepting new patients
Providence Health & Services Washington CurrentSince Nov 22, 2021 Accepting new patients
Northwest Medical Specialties Pharmacy PastSince Jun 1, 2025 Accepting new patients

Locations

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

4525 3rd Ave SE
#200
Olympia, WA 98503
Phone (360) 533-6906

2940 S Meridian
Ste 200
Puyallup, WA 98373

1624 S I St
Ste 105
Tacoma, WA 98405

1624 S I St
Ste 305
Tacoma, WA 98405

Organizations & group practices 4

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 4

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": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1407489974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 3RD AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031010",
            "telephone_number": "360-754-3934",
            "fax_number": "360-943-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 3RD AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031010",
            "telephone_number": "360-754-3934",
            "fax_number": "360-943-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROJAN",
        "first_name": "MICHELLE",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61207245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

Verify at the official NPI Registry.