Individual provider Active NPI

Sarah Michelle Charlton, ARNP

  • Family Nurse Practitioner
  • Mattawa, WA
National Provider Identifier
1700648102
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61525073 Issued in WA
Practice address
210 Government Rd
Mattawa, WA 99349-5116
Phone
(509) 932-4499
Fax
(509) 932-5363
NPI assigned
Jan 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP61525073 WA Primary

Addresses

Primary practice location

210 Government Rd
Mattawa, WA 99349-5116

Mailing address

210 Government Rd
Mattawa, WA 99349-5116
Phone (509) 932-4499

Other names 1

  • Miss Sarah Michelle Selvar Former 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
I20240506003673 WA Practitioner - Nurse Practitioner 6002256138 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61525073WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kittitas County Public Hospital Dist 1 Multi-Specialty CurrentSince Feb 17, 2025 Accepting new patients
Kittitas County Public Hosp Dist 1 CurrentSince Feb 17, 2025 Accepting new patients
Grant County Public Hospital District No 5 Multi-Specialty CurrentSince Apr 1, 2024 Accepting new patients
Grant County Public Hospital District No 5 CurrentSince Apr 1, 2024 Accepting new patients
Kittitas County Public Hospital Dist 1 Multi-Specialty Past Accepting new patients

Locations

100 E Jackson Ave
Ellensburg, WA 98926
Phone (509) 574-6000

603 S Chestnut St
Ellensburg, WA 98926
Phone (509) 933-8693

210 Government Rd
Mattawa, WA 99349
Phone (509) 932-4119

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1700648102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 GOVERNMENT RD",
            "city": "MATTAWA",
            "state": "WA",
            "postal_code": "993495116",
            "telephone_number": "509-932-4499",
            "fax_number": "509-932-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 GOVERNMENT RD",
            "city": "MATTAWA",
            "state": "WA",
            "postal_code": "993495116",
            "telephone_number": "509-932-4499",
            "fax_number": "509-932-5363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARLTON",
        "first_name": "SARAH",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61525073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SELVAR",
            "middle_name": "MICHELLE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mattawa, WA

Sources for this page

Verify at the official NPI Registry.