Individual provider Active NPI

Madison Bailey Nelson, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1841946480
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61266895 Issued in WA
Practice address
3124 S Regal St
Spokane, WA 99223-4704
Phone
(509) 464-6208
NPI assigned
Feb 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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 AP61266895 WA Primary

Addresses

Primary practice location

3124 S Regal St
Spokane, WA 99223-4704

Mailing address

1694 Tamarisk Dr
Santa Clara, UT 84765-5162
Phone (801) 554-2737

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
I20220308000876 WA Practitioner - Nurse Practitioner 4981098902 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61266895WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rare Wellness CurrentSince Oct 23, 2022 Accepting new patients
Northwest Spine and Pain Medicine, PLLC CurrentSince Nov 29, 2021 Accepting new patients
Selkirk Interventional Pain Physicians PLLC PastSince Nov 29, 2021 Accepting new patients

Locations

3124 S Regal St
Spokane, WA 99223
Phone (509) 464-6208

5901 N Lidgerwood St
Ste 218
Spokane, WA 99208
Phone (509) 464-6208

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1645488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1841946480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1694 TAMARISK DR",
            "city": "SANTA CLARA",
            "state": "UT",
            "postal_code": "847655162",
            "telephone_number": "801-554-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3124 S REGAL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992234704",
            "telephone_number": "509-464-6208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MADISON",
        "middle_name": "BAILEY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61266895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.