Individual provider Active NPI

Stephanie M Coats

  • Nurse Practitioner
  • Everett, WA
National Provider Identifier
1467238287
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61542452 Issued in WA
Practice address
1717 13TH Street
Everett, WA 98201-4601
Phone
(425) 297-5560
Fax
(425) 297-5561
NPI assigned
Sep 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X 149621 IA
Nurse Practitioner 363L00000X AP61542452 WA Primary
Nurse Practitioner 363L00000X A176525 IA

Addresses

Primary practice location

1717 13TH Street
Everett, WA 98201-4601

Mailing address

PO Box 5127
Everett, WA 98206-5127
Phone (425) 258-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE, WA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20231209000499 IA Practitioner - Nurse Practitioner 4688023112 Reassigns benefits to 1 organization
I20231209000528 NE Practitioner - Nurse Practitioner 4688023112 Reassigns benefits to 1 organization
I20240828003521 WA Practitioner - Nurse Practitioner 4688023112 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians

Practice addresses (Care Compare)

1330 Rockefeller Ave
Everett, WA 98201-1684
Phone (425) 259-0966

3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5442

4420 76TH St NE
Marysville, WA 98270-3726
Phone (360) 651-7490

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149621IAMDGerontology Registered Nurse
AP61542452WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Care Washington PLLC Current Accepting new patients
Optum Care Washington PLLC CurrentSince Jun 23, 2024 Accepting new patients
Physicians Clinic Inc Nurse Practitioner CurrentSince Dec 31, 2023 Accepting new patients
Optum Care Washington PLLC CurrentSince Jun 23, 2024 Accepting new patients
Nebraska Methodist Hospital Current Accepting new patients
The Polyclinic PLLC CurrentSince Jan 19, 2026 Accepting new patients
The Polyclinic PLLC CurrentSince Jan 19, 2026 Accepting new patients
The Polyclinic PLLC Past Accepting new patients

Locations

1 Edmundson Pl
Council Bluffs, IA 51503
Phone (712) 396-4000

808 E Pierce St
Council Bluffs, IA 51503
Phone (712) 396-4340

20021 Manderson St
Elkhorn, NE 68022
Phone (402) 815-6600

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

825 S 169th St
Fl 3
Omaha, NE 68118
Phone (402) 354-5451

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

1717 13th St
Everett, WA 98201
Phone (425) 297-5500

904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

Interoperability endpoints

  • Direct secure messaging: stephanie.coats@direct.nmhs.org
  • Direct secure messaging: scoats85259@direct.tecmc.com

Organizations & group practices 8

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": "1693958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1467238287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5127",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982065127",
            "telephone_number": "425-258-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 13TH STREET",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982014601",
            "telephone_number": "425-297-5560",
            "fax_number": "425-297-5561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATS",
        "first_name": "STEPHANIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "IA",
            "license": "149621",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61542452",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A176525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.