Jennifer Wyrick, DNP, FNP-C

Key facts

NPI

1831663905

Entity type

Individual (NPI type 1)

Primary specialty

Nurse Practitioner 363L00000X

License

AP61287424 (WA)

Practice address

115 Sunnyside Ave Ste a
Granger, WA 98932-9348

Phone

(509) 865-6450

Fax

(509) 865-1401

NPI assigned

Jan 11, 2019

Sex

Female

Sole proprietor

Yes

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bethel Family Clinic Federally Qualified Health Center (FQHC) · Bethel, AK · NPI 1124078019
  Medicare reassignment NPD AK · SINGLE SPECIALTY
• Columbia Lutheran Charities Surgery Physician · Astoria, OR · NPI 1821254129
  Medicare reassignment NPD OR · SINGLE SPECIALTY
• Southeastern Emergency Physicians LLC Emergency Medicine Physician · Maysville, KY · NPI 1356379382
  Medicare reassignment NPD SINGLE SPECIALTY · TN
• Yakima Valley Farm Workers Clinic Mental Health Clinic/Center (Including Community Mental Health Center) · Yakima, WA · NPI 1295788602
  Medicare reassignment WA
• Yakima Valley Farm Workers Clinic Federally Qualified Health Center (FQHC) · Yakima, WA · NPI 1174659890
  NPD
• Bethel Family Clinic Federally Qualified Health Center (FQHC) · Bethel, AK · NPI 1891279097
  NPD
• Columbia Lutheran Charities Community/Retail Pharmacy · Astoria, OR · NPI 1093003667
  NPD
• Yakima Valley Farm Workers Clinic Federally Qualified Health Center (FQHC) · Clatskanie, OR · NPI 1578000345
  NPD
• Columbia Lutheran Charities Community Based Hospice Care Agency · Astoria, OR · NPI 1023038858
  NPD (past) SINGLE SPECIALTY
• Columbia Lutheran Charities Critical Access Hospital · Astoria, OR · NPI 1932814704
  NPD (past)
• Mountain Medical Services PLLC Family Nurse Practitioner · Kodak, TN · NPI 1053610717
  NPD (past) SINGLE SPECIALTY

Hospital & facility affiliations 5

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

• Columbia Lutheran Charities Critical Access Hospital · Astoria, OR · NPI 1134146939
  Care Compare affiliation Hospital
• Columbia Lutheran Charities Cardiovascular Disease Physician · Astoria, OR · NPI 1629378880
  Care Compare affiliation Hospital
• Columbia Lutheran Charities Critical Access Hospital · Astoria, OR · NPI 1700809761
  Care Compare affiliation Hospital
• Columbia Lutheran Charities Surgery Physician · Astoria, OR · NPI 1821254129
  Care Compare affiliation Hospital
• Columbia Lutheran Charities Surgery Physician · Astoria, OR · NPI 1871747659
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yakima Valley Farm Workers Clinic (274 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbia Memorial Hospital Hospital · Astoria, OR · CCN 381320

Medicare participation

Medicare fee-for-service enrollment

Enrolled (4 enrollments) in TN, AK, OR, WA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 24, 2025.

{
    "created_epoch": "1547164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1831663905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "TOPPENISH",
            "state": "WA",
            "postal_code": "989480190",
            "telephone_number": "509-408-6298",
            "fax_number": "509-865-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SUNNYSIDE AVE STE A",
            "city": "GRANGER",
            "state": "WA",
            "postal_code": "989329348",
            "telephone_number": "509-865-6450",
            "fax_number": "509-865-1401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "631 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Bethel",
            "state": "AK",
            "postal_code": "99559",
            "country_code": "US",
            "telephone_number": "907-543-9858",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYRICK",
        "first_name": "JENNIFER",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-11",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25227",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25227",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "APN0000025227",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61287424",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61287424",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "222108",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granger, WA

• Seventy X 7 Support Service
• Soul Care Center of the West Coast
• Heather Marie Stickle, ARNP
• Maria Valencia, M.ED, CDPT
• Taylor Vickerman, LMHCA
• Yakima Neighborhood Health Services
• Yakima Neighborhood Health Services
• Yakima Neighborhood Health Services
• Yakima Valley Farm Workers Clinic

All providers in Granger, WA · Nurse Practitioner in Washington