Ellen L Imsland, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP30007322 Issued in WA

Practice address

518 E Clay Ave
Chewelah, WA 99109-8947

Phone

(509) 935-8424

Fax

(509) 935-8402

NPI assigned

Jul 8, 2006

Last updated

Nov 3, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Chewelah Associated Physicians PS

  • Family Medicine Physician
  • Chewelah, WA
  • NPI 1104971365
  Medicare reassignment NPD

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1821021478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 E CLAY AVE",
            "address_2": "PO BOX 198",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098947",
            "telephone_number": "509-935-8424",
            "fax_number": "509-935-8402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 E CLAY AVE",
            "city": "CHEWELAH",
            "state": "WA",
            "postal_code": "991098947",
            "telephone_number": "509-935-8424",
            "fax_number": "509-935-8402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMSLAND",
        "first_name": "ELLEN",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007322",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WA",
            "license": "AP30007322",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CE9078",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES ID NO.",
            "identifier": "0210113",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine McGlinchy Hayman, RPH
• Nicole Marie Haywood, LMP
• Connor D Hoffman
• Pamela D Holmes, MS, LMHC
• Caleb Christman Holtzer, M.D.
• Jennifer Lynn Gear (JLA Gear Nurse Delegation)
• Kimberlyn Ann Johnstone, M.D.
• Kevin Kimmel, MSW
• Lori S King, DVM
• Pamelyn King

• Family Nurse Practitioner in Chewelah, WA
• Providers in Chewelah, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.