Michelle Rene' Burrell, ARNP

Individual provider Active NPI Primary Care Nurse Practitioner · Spokane, WA

NPI 1750111746 · NPPES record last updated Aug 26, 2024

Key facts

NPI
1750111746
Entity type
Individual (NPI type 1)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
License
61590813 (WA)
Practice address
800 W 5TH Ave
Spokane, WA 99204-2803
Phone
(509) 480-0030
NPI assigned
Aug 5, 2024
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Multicare Health System (2,312 clinicians)

Practice addresses (Care Compare)

309 E Farwell Rd
Suite 100
Spokane, WA 99218-8205
Phone (509) 724-4400

311 S L St
Tacoma, WA 98405-3720

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

Hospital & facility affiliations

  • Deaconess Medical Center Hospital · Spokane, WA · CCN 500044

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20241111003317 WA Practitioner - Nurse Practitioner 8527592732 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
61590813WAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Multicare Health System Current Accepting new patients
Multicare Health System Current
since Oct 16, 2024
Accepting new patients
Multicare Health System Current
since Oct 16, 2024
Accepting new patients

Locations

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

800 W 5th Ave
Spokane, WA 99204
Phone (509) 458-5800

311 S L St
Tacoma, WA 98405
Phone (253) 403-1444

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 61590813 WA Yes

Addresses

Primary practice location

800 W 5TH Ave
Spokane, WA 99204-2803

Mailing address

2323 W Mission Ave
Spokane, WA 99201-2926
Phone (509) 480-0030

Other providers in Spokane, WA

All providers in Spokane, WA · Primary Care Nurse Practitioner in Washington

Sources for this page

Verify at the official NPI Registry.