Individual provider Active NPI

Nicole O'Malley, M.D.

  • Sleep Medicine (Family Medicine) Physician
  • Bellevue, WA
National Provider Identifier
1558775486
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
61470679 Issued in WA
Practice address
1100 112TH Ave NE Ste 320
Bellevue, WA 98004-4511
Phone
(425) 289-3000
NPI assigned
Jun 18, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9408481 KS
Sleep Medicine (Family Medicine) Physician 207QS1201X DR.0066683 CO
Sleep Medicine (Family Medicine) Physician 207QS1201X 61470679 WA Primary

Addresses

Primary practice location

1100 112TH Ave NE Ste 320
Bellevue, WA 98004-4511

Mailing address

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 289-3000

Other practice location 1

3901 Rainbow Blvd
MS4010 Family Medicine
Kansas City, KS 66160-8500
Phone (913) 588-1902

Other practice location 2

1630 Dry Creek Dr Ste 200
Longmont, CO 80503-6405
Phone (720) 279-9098

Other practice location 3

1035 116th Ave NE
Bellevue, WA 98004-4604
Phone (425) 289-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KS, WA, WY4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20170417001204 OH Practitioner - HospitalistPractitioner - Family Practice 3779889845 Reassigns benefits to 1 organization
I20180711001771 KS Practitioner - Family Practice 3779889845 Reassigns benefits to 3 organizations
I20231207001555 WA Practitioner - Sleep MedicinePractitioner - Family Practice 3779889845 Reassigns benefits to 1 organization
I20250122001628 WY Practitioner - Diagnostic Radiology 3779889845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Overlake Medical Clinics LLCGroup PAC ID 7012808827, 423 clinicians

Practice addresses (Care Compare)

1750 112TH Ave NE
Suite B102
Bellevue, WA 98004-3772
Phone (425) 688-5460

Hospital & facility affiliations

  • Mitchell County Hospital Health Systems Hospital, Beloit, KS, CCN 171375
  • Overlake Hospital Medical Center & Clinics Hospital, Bellevue, WA, CCN 500051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9408481KSMDFamily Medicine Physician
61470679WAMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas University Physicians Inc Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Overlake Medical Clinics LLC CurrentSince Dec 18, 2023 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Nov 21, 2024 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Family Medicine CurrentSince Mar 30, 2017 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Nov 21, 2024 Accepting new patients
Memorial Hospital of Carbon County Family Medicine Current Accepting new patients
Mitchell County Hospital Health Systems CurrentSince May 30, 2024 Accepting new patients
Mitchell County Hospital Health Systems CurrentSince May 30, 2024 Accepting new patients
Kansas University Physicians Inc CurrentSince Jul 1, 2018 Accepting new patients
Kansas University Physicians Inc Family Medicine Current Accepting new patients
Rush County Memorial Hospital CurrentSince Aug 14, 2023 Accepting new patients
Memorial Hospital of Carbon County Current Accepting new patients
Overlake Medical Clinics, LLC CurrentSince Dec 18, 2023 Accepting new patients
Issaquah Obstetrics and Gynecology PLLC Past Accepting new patients

Locations

400 W 8th St
Beloit, KS 67420
Phone (785) 738-2266

3901 Rainbow Blvd
#4010
Kansas City, KS 66160
Phone (913) 588-1902

4000 Cambridge St
Kansas City, KS 66160
Phone (913) 588-0000

3901 Rainbow Blvd
Kansas City, KS 66160
Phone (913) 588-6005

801 Locust St
La Crosse, KS 67548
Phone (785) 222-2545

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1750 112th Ave NE
Ste B102
Bellevue, WA 98004
Phone (425) 688-5460

1035 116th Ave NE
Bellevue, WA 98004
Phone (425) 451-4141

1100 112th Ave NE
Ste 320
Bellevue, WA 98004
Phone (425) 289-3000

6520 226th Pl SE
Ste 150
Issaquah, WA 98027
Phone (425) 688-5777

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1558775486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 116TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044604",
            "telephone_number": "425-289-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 112TH AVE NE STE 320",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980044511",
            "telephone_number": "425-289-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Rainbow Blvd",
            "address_2": "MS4010 Family Medicine",
            "address_purpose": "LOCATION",
            "city": "Kansas City",
            "state": "KS",
            "postal_code": "661608500",
            "country_code": "US",
            "telephone_number": "913-588-1902",
            "fax_number": "913-588-8387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Dry Creek Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Longmont",
            "state": "CO",
            "postal_code": "805036405",
            "country_code": "US",
            "telephone_number": "720-279-9098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1035 116th Ave NE",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980044604",
            "country_code": "US",
            "telephone_number": "425-289-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-18",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "9408481",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "CO",
            "license": "DR.0066683",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "WA",
            "license": "61470679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.