Active NPI
Shellie Marthini, ARNP
- Gerontology Nurse Practitioner
- Richland, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- AP61059985
- Practice address
- 560 Gage Blvd Ste 102
Richland, WA 99352-9531 - Phone
- (509) 942-3135
- Fax
- (509) 627-1188
- NPI assigned
- Mar 29, 2020
- Last updated
- Nov 13, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP61059985 | WA | |
| Gerontology Nurse Practitioner | 363LG0600X | AP61059985 | WA | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | AP61059985 | WA |
Addresses
Primary practice location
560 Gage Blvd Ste 102
Richland, WA 99352-9531
Mailing address
1024 Beane Rd
Moxee, WA 98936-9750
Phone (509) 948-2252
Other practice location 1
12 S 8th St
Yakima, WA 98901-3020
Phone (509) 454-4143
Other practice location 2
301 W Prospect Rd Ste F1
Moxee, WA 98936-9811
Phone (509) 452-8246
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 169.940-00 | Other | WA | L&I |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | moxeemedicalclinic.com | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
715 N Park Ctr
Suite a
Selah, WA 98942-1174
Phone (509) 698-2624
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61059985 | WA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thuthi Enterprises, LLC | Current | Accepting new patients | |
| Yakima Neighborhood Health Services | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Adult Health | Current | Accepting new patients |
| Sunnyside Community Hospital Association | Current | Accepting new patients | |
| Yakima Neighborhood Health Services | Current | Accepting new patients | |
| Thuthi Enterprises, LLC | Current | Accepting new patients | |
| Yakima Neighborhood Health Services | Current | Accepting new patients | |
| Sunnyside Community Hospital Association | Current | Accepting new patients |
Locations
208 N Euclid Rd
Grandview, WA 98930
Phone (509) 882-1855
222 E 2nd St
Grandview, WA 98930
Phone (509) 203-6501
355 Chardonnay Ave
Prosser, WA 99350
Phone (509) 781-6366
715 North Park Ctr
Ste A
Selah, WA 98942
Phone (509) 426-2378
715 North Park Ctr
Ste B
Selah, WA 98942
Phone (509) 698-2624
2705 E Lincoln Ave
Sunnyside, WA 98944
Phone (509) 836-4848
12 S 8th St
Yakima, WA 98901
Interoperability endpoints
- shellie.marthini.1@22275.direct.athenahealth.com
Organizations & group practices 10
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.
-
dba Best Practices Healthcare Center
- Family Medicine Physician
- Selah, WA
- NPI 1851919476
-
dba Neighborhood Health Terrace Heights
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1750985727
-
dba Astria Health Center
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1679521637
-
- Primary Care Clinic/Center
- Moxee, WA
- NPI 1255916425
-
dba Astria Health Center
- Rural Health Clinic/Center
- Sunnyside, WA
- NPI 1407289184
Adult Health
-
dba Astria Health Center
- Clinic/Center
- Yakima, WA
- NPI 1609395060
-
- Rural Health Clinic/Center
- Prosser, WA
- NPI 1912305905
-
dba Best Practices Urgent Care
- Urgent Care Clinic/Center
- Selah, WA
- NPI 1235747411
-
dba Neighborhood Connections Annex
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1285456772
-
- Federally Qualified Health Center (FQHC)
- Yakima, WA
- NPI 1902112196
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Yakima Memorial Hospital
- General Acute Care Hospital
- Yakima, WA
- NPI 1053373480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731456000000",
"number": "1790313419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1024 BEANE RD",
"city": "MOXEE",
"state": "WA",
"postal_code": "989369750",
"telephone_number": "509-948-2252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "560 GAGE BLVD STE 102",
"city": "RICHLAND",
"state": "WA",
"postal_code": "993529531",
"telephone_number": "509-942-3135",
"fax_number": "509-627-1188"
}
],
"practiceLocations": [
{
"address_1": "12 S 8th St",
"address_purpose": "LOCATION",
"city": "Yakima",
"state": "WA",
"postal_code": "989013020",
"country_code": "US",
"telephone_number": "509-454-4143",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "301 W Prospect Rd Ste F1",
"address_purpose": "LOCATION",
"city": "Moxee",
"state": "WA",
"postal_code": "989369811",
"country_code": "US",
"telephone_number": "509-452-8246",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARTHINI",
"first_name": "SHELLIE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-29",
"last_updated": "2024-11-13",
"certification_date": "2024-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "WA",
"license": "AP61059985",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "WA",
"license": "AP61059985",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP61059985",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L&I",
"identifier": "169.940-00",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "moxeemedicalclinic.com",
"affiliation": "N",
"endpointDescription": "Moxee Medical Clinic",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "301 W Prospect Rd Ste F1",
"city": "Moxee",
"state": "WA",
"country_code": "US",
"postal_code": "989369811",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.