Marlene Bishop
Individual provider Active NPI Family Nurse Practitioner · Everson, WA
NPI 1831590306 · NPPES record last updated Nov 20, 2024
Key facts
- NPI
- 1831590306
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 4704158445 (MI)
- Practice address
- 2510 Sulwhanon Dr
Everson, WA 98247-8766 - Phone
- (360) 966-2106
- NPI assigned
- Sep 15, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nooksack Central Management System
Practice addresses (Care Compare)
2510 Sulwhanon Dr
Everson, WA 98247-8766
Phone (360) 966-2106
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MI, 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 |
|---|---|---|---|---|
| I20141209000088 | MI | Practitioner - Nurse Practitioner | 5991027682 | Reassigns benefits to 1 organization |
| I20180406000150 | WA | Practitioner - Nurse Practitioner | 5991027682 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nooksack Central Management System | Current |
Accepting new patients |
Interoperability endpoints
- marlene.bishop@nooksack.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704158445 | MI | Yes |
Addresses
Primary practice location
2510 Sulwhanon Dr
Everson, WA 98247-8766
Mailing address
462 Hilltop Dr
Sedro Woolley, WA 98284-9524
Other providers in Everson, WA
- Stojanche Andov
- Daniel T Barrett
- Michael David Barrett
- Bedlington Chiropractic Center Inc
- Raymond Alden Bedlington
- Michelle Brinkop
- Martina Broschat
- Kelsey Michelle Caubo
- Burke Pak-King Cheung
- Jessica Rae Claborn
All providers in Everson, WA · Family 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 Nov 20, 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.