Individual provider Active NPI

Ryan Willis, ARNP

  • Family Nurse Practitioner
  • Bellingham, WA
National Provider Identifier
1669187548
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61395684 Issued in WA
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, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230403001396 WA Practitioner - Nurse Practitioner 5597130690 Reassigns benefits to 1 organization
I20251103000803 CA Practitioner - Nurse Practitioner 5597130690 Reassigns benefits to 1 organization

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
Family Care Network, PLLCGroup PAC ID 0446142046, 124 clinicians
Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

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

LicenseStateTypeSpecialty
95034813CAMDFamily Nurse Practitioner
F357288-01NYMDFamily Nurse Practitioner
AP61395684WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Network PLLC Current Accepting new patients
Family Care Network PLLC CurrentSince May 1, 2023 Accepting new patients
Family Care Network PLLC CurrentSince May 1, 2023 Accepting new patients
Carlos a. Smith, M.D, Professional Corporation CurrentSince Sep 1, 2025 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

  • Direct secure messaging: rwillis20578@direct.fcn.net
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.