Active NPI
Ryan Willis, ARNP
- Family Nurse Practitioner
- Bellingham, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61395684
- Practice address
- 3130 Squalicum Pkwy Ste 100
Bellingham, WA 98225-1940 - Phone
- (360) 671-4509
- Fax
- (360) 756-5184
- NPI assigned
- Jan 16, 2023
- Last updated
- Jun 10, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95034813 | CA | |
| Family Nurse Practitioner | 363LF0000X | 86832 | NM | |
| Family Nurse Practitioner | 363LF0000X | 26NJ15571600 | NJ | |
| Family Nurse Practitioner | 363LF0000X | AP61395684 | WA | Primary |
| Family Nurse Practitioner | 363LF0000X | F357288-01 | NY |
Addresses
Primary practice location
3130 Squalicum Pkwy Ste 100
Bellingham, WA 98225-1940
Mailing address
3610 Meridian St
Bellingham, WA 98225-1732
Phone (360) 318-8800
Other practice location 1
1907 Border Ave
Torrance, CA 90501-3606
Phone (844) 443-6246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Select Outpatient Services Inc
Practice addresses (Care Compare)
1610 Grover St
Lynden, WA 98264-1539
2600 Compass Rd
Glenview, IL 60026-8001
3130 Squalicum Pkwy
Bellingham, WA 98225-1940
861 Grant Ave
Blaine, WA 98230-5186
Phone (360) 371-5855
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95034813 | CA | MD | Family Nurse Practitioner |
| F357288-01 | NY | MD | Family Nurse Practitioner |
| AP61395684 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Network PLLC | Current | Accepting new patients | |
| Family Care Network PLLC | Current | Accepting new patients | |
| Family Care Network PLLC | Current | Accepting new patients | |
| Carlos a. Smith, M.D, Professional Corporation | Current | Accepting new patients |
Locations
1907 Border Ave
Torrance, CA 90501
Phone (585) 278-0502
685 3rd Ave
Fl 9
New York, NY 10017
Phone (212) 273-9770
3130 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 671-4509
3610 Meridian St
Bellingham, WA 98225
8097 Harborview Rd
Blaine, WA 98230
Phone (360) 371-3888
861 Grant Ave
Blaine, WA 98230
Phone (360) 371-5855
1610 Grover St
Ste D1
Lynden, WA 98264
Phone (360) 312-3785
Interoperability endpoints
- rwillis20578@direct.fcn.net
- ryan.willis.1@24989.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Bellingham, WA
- NPI 1427001015
-
dba Docgo
- Internal Medicine Physician
- Torrance, CA
- NPI 1710690433
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
-
dba Family Care Network Laboratory
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1467990077
-
dba Sunset and James
- Family Medicine Physician
- Bellingham, WA
- NPI 1558952150
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Regional Laboratory
- Clinical Medical Laboratory
- Bellingham, WA
- NPI 1013137173
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1673827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781049600000",
"number": "1669187548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3610 MERIDIAN ST",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251732",
"telephone_number": "360-318-8800",
"fax_number": "360-318-1085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 SQUALICUM PKWY STE 100",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251940",
"telephone_number": "360-671-4509",
"fax_number": "360-756-5184"
}
],
"practiceLocations": [
{
"address_1": "1907 Border Ave",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905013606",
"country_code": "US",
"telephone_number": "844-443-6246",
"fax_number": "833-907-2235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILLIS",
"first_name": "RYAN",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-16",
"last_updated": "2026-06-10",
"certification_date": "2026-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95034813",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NM",
"license": "86832",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ15571600",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61395684",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F357288-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; 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.
- 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.