Individual provider Active NPI

Nicola R. Nylander, M.D.

  • Dermatology Physician
  • Seattle, WA
National Provider Identifier
1851404008
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00029291 Issued in WA
Practice address
509 Olive Way
Suite 900
Seattle, WA 98101-1720
Phone
(206) 860-4700
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD00029291 WA Primary

Addresses

Primary practice location

509 Olive Way
Suite 900
Seattle, WA 98101-1720

Mailing address

1145 Broadway
Seattle, WA 98122-4201
Phone (206) 329-1760

Other identifiers 1

IdentifierTypeStateIssuer
8180374MedicaidWA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000219 WA Practitioner - Dermatology 8224021746 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.73 of 100Reported as group
Quality
80.23
Promoting interoperability
82
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prosser Public Hospital District of Benton County CurrentSince Aug 2, 2021 Accepting new patients
Prosser Public Hospital District of Benton County CurrentSince Aug 2, 2021 Accepting new patients
Prosser Public Hospital District of Benton County Past Accepting new patients
Prosser Public Hospital District of Benton County Past Accepting new patients
Prosser Public Hospital District of Benton County Past Accepting new patients

Locations

701 Dale Ave
Ste A
Benton City, WA 99320
Phone (509) 588-4075

1105 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

701 Dale Ave
Ste B
Benton City, WA 99320

701 Dale Ave
Benton City, WA 99320
Phone (509) 588-4075

200 Prosser Health Dr
Prosser, WA 99350
Phone (509) 786-2222

Organizations & group practices 5

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851404008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 BROADWAY",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981224201",
            "telephone_number": "206-329-1760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY",
            "address_2": "SUITE 900",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011720",
            "telephone_number": "206-860-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYLANDER",
        "first_name": "NICOLA",
        "middle_name": "R.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00029291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8180374",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.