Individual provider Active NPI

Vanessa Nicholle Monsef

  • Nurse Practitioner
  • Vancouver, WA
National Provider Identifier
1548937758
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61128481 Issued in WA
Practice address
100 E 33Rd St Ste 206
Vancouver, WA 98663-2776
Phone
(360) 695-1334
Fax
(360) 707-7453
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 202100197NP-PP OR
Nurse Practitioner 363L00000X AP61128481 WA Primary

Addresses

Primary practice location

100 E 33Rd St Ste 206
Vancouver, WA 98663-2776

Mailing address

1405 NE 63Rd St
Vancouver, WA 98665-0208
Phone (360) 521-0482

Other identifiers 1

IdentifierTypeStateIssuer
2203045MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211108001961 WA Practitioner - Nurse Practitioner 7618366949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Salmon Creek HospitalGroup PAC ID 0446295711, 309 clinicians

Practice addresses (Care Compare)

2101 NE 139TH St
Suite 460
Vancouver, WA 98686-2325
Phone (360) 487-2727

2211 NE 139TH St
Vancouver, WA 98686-2742
Phone 3604871000360487

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202100197NP-PPORMDNurse Practitioner
AP61128481WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Salmon Creek Hospital CurrentSince Feb 9, 2023 Accepting new patients
Hudson's Bay Medical Group, Inc., P.S. Nurse Practitioner CurrentSince Oct 29, 2021 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Feb 9, 2023 Accepting new patients

Locations

1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

100 E 33rd St
Ste 206A
Vancouver, WA 98663
Phone (360) 695-1334

2101 NE 139th St
Ste 450
Vancouver, WA 98686
Phone (360) 487-4848

100 E 33rd St
Ste 206
Vancouver, WA 98663
Phone (360) 695-1334

2101 NE 139th St
Ste 460
Vancouver, WA 98686
Phone (360) 487-2727

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.

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": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1548937758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 NE 63RD ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986650208",
            "telephone_number": "360-521-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 33RD ST STE 206",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986632776",
            "telephone_number": "360-695-1334",
            "fax_number": "360-707-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONSEF",
        "first_name": "VANESSA",
        "middle_name": "NICHOLLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "202100197NP-PP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61128481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2203045",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.