Individual provider Active NPI

Michelle Brothers, ARNP

  • Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1710537667
Registry record updated Sep 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61002019 Issued in WA
Practice address
3124 S Regal St
Spokane, WA 99223-4704
Phone
(509) 464-6208
Fax
(888) 316-1928
NPI assigned
Sep 12, 2019
Last updated
Sep 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61002019 WA Primary

Addresses

Primary practice location

3124 S Regal St
Spokane, WA 99223-4704

Mailing address

PO Box 112
Spokane, WA 99210-0112
Phone (509) 464-6208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 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
I20200226002736 WA Practitioner - Nurse Practitioner 6507299419 Reassigns benefits to 1 organization
I20241008002901 ID Practitioner - Nurse Practitioner 6507299419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Spine and Pain Medicine PLLCGroup PAC ID 5799972212, 15 clinicians

Practice addresses (Care Compare)

3124 S Regal St
Spokane, WA 99223-4733
Phone (509) 464-6208

509 W Hanley Ave
Suite 101
Coeur D Alene, ID 83815-8994
Phone (509) 464-6208

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rare Wellness CurrentSince Oct 23, 2022 Accepting new patients
Northwest Spine and Pain Medicine, PLLC CurrentSince Sep 6, 2019 Accepting new patients
Selkirk Interventional Pain Physicians PLLC Past Accepting new patients

Locations

509 W Hanley Ave
Ste 101
Coeur D Alene, ID 83815
Phone (208) 666-0357

3124 S Regal St
Spokane, WA 99223
Phone (509) 464-6208

5901 N Lidgerwood St
Ste 218
Spokane, WA 99208
Phone (509) 464-6208

9425 N Nevada St
Ste 300
Spokane, WA 99218
Phone (509) 465-8885

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mbrothers@nsapmp-wa.direct.office.nextgen.com

Organizations & group practices 3

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": "1568246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568246400000",
    "number": "1710537667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 112",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992100112",
            "telephone_number": "509-464-6208",
            "fax_number": "888-316-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 S REGAL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234704",
            "telephone_number": "509-464-6208",
            "fax_number": "888-316-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROTHERS",
        "first_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61002019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.