Individual provider Active NPI

Michael Aaron Wauters, MD

  • Family Medicine Physician
  • Port Angeles, WA
National Provider Identifier
1427469691
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD60752412 Issued in WA
Practice address
240 W Front St Ste a
Port Angeles, WA 98362-2609
Phone
(360) 452-7891
Fax
(360) 452-8087
NPI assigned
May 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MRM-1400 ID
Family Medicine Physician 207Q00000X MD60752412 WA Primary

Addresses

Primary practice location

240 W Front St Ste a
Port Angeles, WA 98362-2609

Mailing address

240 W Front St Ste a
Port Angeles, WA 98362-2609
Phone (360) 452-7891

Other practice location 1

1026 E 1st St
Port Angeles, WA 98362-4020
Phone (360) 452-7891

Other practice location 2

933 E 1st St
Port Angeles, WA 98362-4012
Phone (360) 452-7891

Other identifiers 1

IdentifierTypeStateIssuer
2082091MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170822002064 WA Practitioner - Family Practice 2961728829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Wisconsin School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Olympic Healthcare NetworkGroup PAC ID 3779895396, 31 clinicians

Practice addresses (Care Compare)

240 W Front St
Suite a
Port Angeles, WA 98362-2609
Phone (360) 452-7891

Hospital & facility affiliations

  • Olympic Medical Home Health Home health agency, Port Angeles, WA, CCN 507072
  • Olympic Medical Center Hospital, Port Angeles, WA, CCN 500072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MRM-1400IDMDFamily Medicine Physician
MD60752412WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Olympic Healthcare Network CurrentSince Sep 1, 2017 Accepting new patients
North Olympic Healthcare Network CurrentSince Sep 1, 2017 Accepting new patients
Clallam County Public Hospital District 2 Past Accepting new patients

Locations

933 E 1st St
Port Angeles, WA 98362
Phone (360) 452-4432

240 W Front St
Port Angeles, WA 98362
Phone (360) 452-7891

240 W Front St
Ste A
Port Angeles, WA 98362
Phone (360) 452-7891

1026 E 1st St
Port Angeles, WA 98362
Phone (360) 452-4432

Interoperability endpoints

  • Direct secure messaging: mwauters475550@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.

Hospital & facility affiliations 2

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": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1427469691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 W FRONT ST STE A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622609",
            "telephone_number": "360-452-7891",
            "fax_number": "360-452-8087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 W FRONT ST STE A",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983622609",
            "telephone_number": "360-452-7891",
            "fax_number": "360-452-8087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1026 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983624020",
            "country_code": "US",
            "telephone_number": "360-452-7891",
            "fax_number": "360-452-8087",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "933 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983624012",
            "country_code": "US",
            "telephone_number": "360-452-7891",
            "fax_number": "360-452-8087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAUTERS",
        "first_name": "MICHAEL",
        "middle_name": "AARON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "MRM-1400",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60752412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2082091",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Angeles, WA

Sources for this page

Verify at the official NPI Registry.