Individual provider Active NPI

Michelle M Warner, ARNP

  • Family Nurse Practitioner
  • Gig Harbor, WA
National Provider Identifier
1801304431
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60866018 Issued in WA
Practice address
4700 Point Fosdick Dr Ste 102
Gig Harbor, WA 98335-1706
Phone
(253) 853-2050
Fax
(253) 853-2711
NPI assigned
Jan 17, 2018
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 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 Practitioner 363LF0000X AP60866018 WA Primary

Addresses

Primary practice location

4700 Point Fosdick Dr Ste 102
Gig Harbor, WA 98335-1706

Mailing address

4700 Point Fosdick Dr Ste 102
Gig Harbor, WA 98335-1706
Phone (253) 853-2050

Other practice location 1

3425 Ensign Rd NE Ste 340
Olympia, WA 98506-5063
Phone (360) 413-1296

Other identifiers 2

IdentifierTypeStateIssuer
2219408MedicaidWA
5148567-8900OtherUTCONTROLLED SUBSTANCE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mwarner856393@fhsce.catholichealth.net Direct Franciscan Medical Group

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
I20180817000990 WA Practitioner - Nurse Practitioner 3577812940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

4700 Point Fosdick Dr NW
Suite 102
Gig Harbor, WA 98335-1706
Phone (253) 853-2050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60866018WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group CurrentSince May 13, 2024 Accepting new patients
Franciscan Medical Group CurrentSince May 13, 2024 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

34503 9th Ave S
Ste 130
Federal Way, WA 98003
Phone (253) 835-5340

4700 Point Fosdick Dr
Ste 102
Gig Harbor, WA 98335
Phone (206) 858-3200

15214 Canyon Rd E
Ste 120
Puyallup, WA 98375
Phone (253) 539-4200

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

3556 Market Pl W
Ste 109
University Place, WA 98466
Phone (253) 215-1095

Interoperability endpoints

  • Direct secure messaging: mwarner856393@fhsce.catholichealth.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1801304431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 102",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-853-2050",
            "fax_number": "253-853-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 POINT FOSDICK DR STE 102",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351706",
            "telephone_number": "253-853-2050",
            "fax_number": "253-853-2711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3425 Ensign Rd NE Ste 340",
            "address_purpose": "LOCATION",
            "city": "Olympia",
            "state": "WA",
            "postal_code": "985065063",
            "country_code": "US",
            "telephone_number": "360-413-1296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARNER",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60866018",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2219408",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROLLED SUBSTANCE LICENSE",
            "identifier": "5148567-8900",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mwarner856393@fhsce.catholichealth.net",
            "affiliation": "Y",
            "affiliationName": "Franciscan Medical Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4700 Point Fosdick Dr Ste 102",
            "city": "Gig Harbor",
            "state": "WA",
            "country_code": "US",
            "postal_code": "983351706",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.