Individual provider Active NPI

Christopher James Wellwood, D.C., ARNP, NP-C

  • Family Nurse Practitioner
  • Medical Lake, WA
National Provider Identifier
1457413833
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60940534 Issued in WA
Practice address
731 N. Stanley St.
Medical Lake, WA 99022
Phone
(509) 299-6900
Fax
(509) 299-6900
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60940534 WA Primary
Chiropractor 111N00000X CH00034120 WA

Addresses

Primary practice location

731 N. Stanley St.
Medical Lake, WA 99022

Mailing address

731 N Stanley St
Medical Lake, WA 99022-8940
Phone (509) 299-6900

Other identifiers 1

IdentifierTypeStateIssuer
AP60940534OtherWAARNP LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050110000358 WA Practitioner - Chiropractic 3870541535 Reassigns benefits to 1 organization
I20190425002899 WA Practitioner - Nurse Practitioner 3870541535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Natural Health Ctr of Med Lake PSGroup PAC ID 2567464696, 9 clinicians

Practice addresses (Care Compare)

731 N Stanley St
Medical Lake, WA 99022-8940
Phone (509) 299-6900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CH00034120WAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Spokane Sinal Decompression Center PS Past Accepting new patients
Chiropractic Plus Inc Chiropractor Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1457413833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 N STANLEY ST",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "990228940",
            "telephone_number": "509-299-6900",
            "fax_number": "509-299-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 N. STANLEY ST.",
            "city": "MEDICAL LAKE",
            "state": "WA",
            "postal_code": "99022",
            "telephone_number": "509-299-6900",
            "fax_number": "509-299-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLWOOD",
        "first_name": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C., ARNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60940534",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034120",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARNP LICENSE",
            "identifier": "AP60940534",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medical Lake, WA

Sources for this page

Verify at the official NPI Registry.