Individual provider Active NPI

Michael G Sells, ARNP

  • Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1609820117
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP30005914 Issued in WA
Practice address
316 W Boone Ave
Suite 757
Spokane, WA 99201-2354
Phone
(509) 868-0876
Fax
(509) 385-0670
NPI assigned
May 20, 2006
Last updated
Apr 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30005914 WA Primary

Addresses

Primary practice location

316 W Boone Ave
Suite 757
Spokane, WA 99201-2354

Mailing address

316 W Boone Ave
Suite 757
Spokane, WA 99201-2354
Phone (509) 868-0876

Other identifiers 1

IdentifierTypeStateIssuer
807299000MedicaidID

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
I20040723001143 WA Practitioner - Nurse Practitioner 5092795575 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP30005914WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of California, Inc. CurrentSince Apr 7, 2016 Accepting new patients
Inpatient Consultants of California, Inc Nurse Practitioner CurrentSince Apr 7, 2016 Accepting new patients
Centerwell Certified Healthcare Corp. Past Accepting new patients
Inland Empire Hospital Services Association Past Accepting new patients
Family Home Care Corporation Past Accepting new patients
Providence Health & Services-Wa Past Accepting new patients
Inland Cardiology Associates, P.S. PastSince Aug 25, 2014 Accepting new patients

Locations

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

1919 112th St SW
Everett, WA 98204
Phone (425) 249-0024

5633 N Lidgerwood St
Spokane, WA 99208
Phone (509) 482-0111

14820 E 4th Ave
Spokane Valley, WA 99216
Phone (509) 922-1644

414 S University Rd
Spokane Valley, WA 99206
Phone (509) 924-4650

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1609820117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE",
            "address_2": "SUITE 757",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012354",
            "telephone_number": "509-868-0876",
            "fax_number": "509-385-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W BOONE AVE",
            "address_2": "SUITE 757",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992012354",
            "telephone_number": "509-868-0876",
            "fax_number": "509-385-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLS",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30005914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807299000",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.