Active NPI
Colleen Mulvihill Pacem, ARNP
- Family Nurse Practitioner
- Sammamish, WA
National Provider Identifier
1497825673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30007552
- Practice address
- 22850 NE 8TH St
Suite 103
Sammamish, WA 98074-7256 - Phone
- (425) 898-0305
- Fax
- (425) 898-8825
- NPI assigned
- Nov 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00160922 | WA | |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | AP30007552 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP30007552 | WA | Primary |
Addresses
Primary practice location
22850 NE 8TH St
Suite 103
Sammamish, WA 98074-7256
Mailing address
PO Box 34036
Seattle, WA 98124-1036
Phone (425) 899-3292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9653809 | Medicaid | WA |
Other names 1
- Colleen D. Mulvihill
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Apr 1, 2025 through Apr 1, 2027
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Outpatient Services Inc
Practice addresses (Care Compare)
2600 Compass Rd
Glenview, IL 60026-8001
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.73 of 100
- Quality
- 73.46
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30007552 | WA | MD | Critical Care Medicine Nurse Practitioner |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1497825673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34036",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241036",
"telephone_number": "425-899-3292",
"fax_number": "425-899-3269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22850 NE 8TH ST",
"address_2": "SUITE 103",
"city": "SAMMAMISH",
"state": "WA",
"postal_code": "980747256",
"telephone_number": "425-898-0305",
"fax_number": "425-898-8825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACEM",
"first_name": "COLLEEN",
"middle_name": "MULVIHILL",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00160922",
"primary": false
},
{
"code": "363LC0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Critical Care Medicine",
"state": "WA",
"license": "AP30007552",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30007552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9653809",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "MULVIHILL",
"middle_name": "D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Sammamish, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.