Active NPI
Nancy Corley-Wheeler, MN ARNP
- Psychiatric/Mental Health Nurse Practitioner
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP30001770
- Practice address
- 608 S G Street
Tacoma, WA 98405-4625 - Phone
- (253) 573-1105
- Fax
- (253) 573-1104
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP30001770 | WA | Primary |
Addresses
Primary practice location
608 S G Street
Tacoma, WA 98405-4625
Mailing address
608 S G St
Tacoma, WA 98405-4625
Phone (253) 573-1105
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9646704 | Medicaid | WA | |
| AP30001770 | Other | WA | ARNP |
Other names 1
- Nancy Corley-Wheeler
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
608 S G St
Tacoma, WA 98405-4625
Phone (253) 573-1104
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP30001770 | WA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Native Project | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients |
Locations
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
325 E Pioneer
Puyallup, WA 98372
Phone (253) 445-8120
1803 W Maxwell Ave
Spokane, WA 99201
Phone (509) 325-5502
311 S L St
Tacoma, WA 98405
Phone (253) 403-1444
2420 S Union Ave
Ste 100
Tacoma, WA 98405
Phone (253) 459-6111
Organizations & group practices 4
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Federally Qualified Health Center (FQHC)
- Spokane, WA
- NPI 1326123670
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Community/Behavioral Health Agency
- Puyallup, WA
- NPI 1700925351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423180800000",
"number": "1689725376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 S G ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054625",
"telephone_number": "253-573-1105",
"fax_number": "253-573-1104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 S G STREET",
"city": "TACOMA",
"state": "WA",
"postal_code": "984054625",
"telephone_number": "253-573-1105",
"fax_number": "253-573-1104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORLEY-WHEELER",
"first_name": "NANCY",
"name_prefix": "Ms.",
"credential": "MN ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2015-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP30001770",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9646704",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARNP",
"identifier": "AP30001770",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "CORLEY-WHEELER",
"credential": "ARNP",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; 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.