Individual provider Active NPI

Judith McPherson

  • Family Nurse Practitioner
  • Poulsbo, WA
National Provider Identifier
1811657042
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61242029 Issued in WA
Practice address
18820 State Highway 305 NE
Poulsbo, WA 98370-6234
Phone
(360) 394-0105
NPI assigned
Dec 29, 2021
Last updated
Dec 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2021

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 AP61242029 WA Primary

Addresses

Primary practice location

18820 State Highway 305 NE
Poulsbo, WA 98370-6234

Mailing address

18820 State Highway 305 NE
Poulsbo, WA 98370-6234
Phone (360) 394-0105

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
I20220325001069 WA Practitioner - Nurse Practitioner 8224423413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
24.77 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
82.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61242029WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
F&M Healthcare, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

6824 19th St W
#256
University Place, WA 98466
Phone (253) 777-1423

Organizations & group practices 1

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": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1811657042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18820 STATE HIGHWAY 305 NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706234",
            "telephone_number": "360-394-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18820 STATE HIGHWAY 305 NE",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706234",
            "telephone_number": "360-394-0105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCPHERSON",
        "first_name": "JUDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61242029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

Verify at the official NPI Registry.