Active NPI
Michael John Wenger, RN
- Psychiatric/Mental Health Registered Nurse
- Olympia, WA
National Provider Identifier
1497599690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN61104015
- Practice address
- 11702 Yelm Hwy SE
Olympia, WA 98513-9109 - Phone
- (541) 817-6194
- NPI assigned
- Jun 21, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN61104015 | WA | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN61104015 | WA | Primary |
Addresses
Primary practice location
11702 Yelm Hwy SE
Olympia, WA 98513-9109
Mailing address
102 S Marion Ave
Bremerton, WA 98312-3639
Phone (541) 817-6194
Other practice location 1
605 Woodland Square Loop SE
Lacey, WA 98503-1045
Phone (306) 754-1338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN61104015 | WA | MD | Critical Care Medicine Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1497599690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S MARION AVE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983123639",
"telephone_number": "541-817-6194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11702 YELM HWY SE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985139109",
"telephone_number": "541-817-6194"
}
],
"practiceLocations": [
{
"address_1": "605 Woodland Square Loop SE",
"address_purpose": "LOCATION",
"city": "Lacey",
"state": "WA",
"postal_code": "985031045",
"country_code": "US",
"telephone_number": "306-754-1338",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WENGER",
"first_name": "MICHAEL",
"middle_name": "JOHN",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-06-21",
"last_updated": "2025-07-01",
"certification_date": "2025-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "WA",
"license": "RN61104015",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "WA",
"license": "RN61104015",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.