Individual provider Active NPI

Nancy Corley-Wheeler, MN ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tacoma, WA
National Provider Identifier
1689725376
Registry record updated Feb 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP30001770 Issued in WA
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

Updated by the provider on Feb 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9646704MedicaidWA
AP30001770OtherWAARNP

Other names 1

  • Nancy Corley-Wheeler Professional name

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
I20060116000011 WA Practitioner - Nurse Practitioner 2769406909 Reassigns benefits to 2 organizations
Practice locations: Tacoma, WA

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

LicenseStateTypeSpecialty
AP30001770WAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System CurrentSince Jul 1, 2011 Accepting new patients
Native Project CurrentSince Oct 1, 2015 Accepting new patients
Multicare Health System CurrentSince Jul 1, 2011 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.

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

Verify at the official NPI Registry.