Individual provider Active NPI

William M Wisbeck, M.D.

  • Radiation Oncology Physician
  • Everett, WA
National Provider Identifier
1659339356
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD00025450 Issued in WA
Practice address
1717 13TH St Ste 200
Everett, WA 98201-1621
Phone
(425) 297-5590
Fax
(425) 297-5595
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD00025450 WA Primary

Addresses

Primary practice location

1717 13TH St Ste 200
Everett, WA 98201-1621

Mailing address

PO Box 84642
Seattle, WA 98124-5942

Other identifiers 1

IdentifierTypeStateIssuer
8308744MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100312000489 WA Practitioner - Radiation Oncology 9335033299

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwest Washington Radiation OncologyGroup PAC ID 4183518038, 5 clinicians

Practice addresses (Care Compare)

1717 13TH St
Suite 200
Everett, WA 98201-1621
Phone (425) 297-5590

Hospital & facility affiliations

  • Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
  • Whidbeyhealth Medical Center Hospital, Coupeville, WA, CCN 501339
  • Skagit Valley Hospital Hospital, Mount Vernon, WA, CCN 500003
  • Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026

Merit-based Incentive Payment System (MIPS)

Final score
91.11 of 100Reported as group
Quality
82.21
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00025450WAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Washington Radiation Oncology Specialist CurrentSince Jun 1, 1990 Accepting new patients

Locations

1717 13th St
Ste 200
Everett, WA 98201
Phone (425) 258-7201

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.

Hospital & facility affiliations 11

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1659339356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84642",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981245942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 13TH ST STE 200",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982011621",
            "telephone_number": "425-297-5590",
            "fax_number": "425-297-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISBECK",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WA",
            "license": "MD00025450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8308744",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

Verify at the official NPI Registry.