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
Hospital & facility affiliations 1
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
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241111003317 | WA | Practitioner - Nurse Practitioner | 8527592732 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61590813 | WA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Daniel Burns
- Erica Marie Burns
- Rachel Nicole Burns
- Audrey Burr
- Leticia Jo Burrell
- Courteney J Burrill
- Keri Burris
- Kathy Lucia Burrowes
- Alice A Burrows
- Alisha Nicole Burrows
All providers in Spokane, WA · Primary Care Nurse Practitioner in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.