Wylie Nicholas Vracin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD00020146 Issued in WA

Practice address

202 North Main Street
Coupeville, WA 98239

Phone

(360) 678-6576

Fax

(360) 678-3970

NPI assigned

Oct 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Coupeville Clinic

  • Internal Medicine Physician
  • Coupeville, WA
  • NPI 1285985630
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212019200000",
    "number": "1447344528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1440",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "982391440",
            "telephone_number": "360-678-6576",
            "fax_number": "360-678-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 NORTH MAIN STREET",
            "city": "COUPEVILLE",
            "state": "WA",
            "postal_code": "98239",
            "telephone_number": "360-678-6576",
            "fax_number": "360-678-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VRACIN",
        "first_name": "WYLIE",
        "middle_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2008-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00020146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1905504",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon D Tumblin, ARNP
• Thomas B Vader, MD
• Ana Maria Govorcin Valencia, BCBA
• Joycelin Elaine Vester
• Tyrone Arvell Vester
• Susann Kristin Wadsworth, MA60036649
• Richard Wagner, M.D.
• Danhua K Wallace, ARNP
• Tracey Marie Wenthin, CG
• Joseph Mark Werner, MD

• Internal Medicine Physician in Coupeville, WA
• Providers in Coupeville, WA by specialty
• Internal Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.