Individual provider Active NPI

Michele Louise Gunderson, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1851694673
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60186765 Issued in WA
Practice address
1616 W Wellesley Ave Ste C
Spokane, WA 99205-1413
Phone
(509) 957-0097
Fax
(509) 984-4526
NPI assigned
Dec 16, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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 AP60186765 WA Primary

Addresses

Primary practice location

1616 W Wellesley Ave Ste C
Spokane, WA 99205-1413

Mailing address

1616 W Wellesley Ave Ste C
Spokane, WA 99205-1413
Phone (509) 992-2562

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130128000408 WA Practitioner - Nurse Practitioner 4587818570 Reassigns benefits to 3 organizations
Practice locations: Spokane, WA
I20230113002407 ID Practitioner - Nurse Practitioner 4587818570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1616 W Wellesley Ave
Suite C
Spokane, WA 99205-1413
Phone (509) 957-0097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60186765WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. Nurse Practitioner CurrentSince Dec 28, 2022 Accepting new patients
Molina Healthcare of Washington, Inc CurrentSince Jul 12, 2021 Accepting new patients
Molina Healthcare of Washington, Inc Current Accepting new patients
Alpine Orthopaedic and Spine a Professional Corporation CurrentSince Jul 1, 2020 Accepting new patients
Access Mobile Medicine, PLLC CurrentSince Oct 8, 2023 Accepting new patients
Pinnicale Pain Center PastSince Jan 1, 2018 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

950 W Bannock St
Ste 1100
Boise, ID 83702
Phone (201) 293-7689

1200 W Fairview St
Colfax, WA 99111
Phone (509) 397-3435

15 SW Everett Mall Way
Ste A
Everett, WA 98204
Phone (425) 348-6727

1616 W Wellesley Ave
Ste C
Spokane, WA 99205
Phone (509) 328-1051

212 E Central Ave
Ste 365
Spokane, WA 99208
Phone (509) 435-0793

1616 W Wellesley Ave
Spokane, WA 99205
Phone (509) 703-0834

1123 N Evergreen Rd
Spokane Valley, WA 99216
Phone (509) 363-3100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12441/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 6

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": "1292457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1851694673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 W WELLESLEY AVE STE C",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051413",
            "telephone_number": "509-992-2562",
            "fax_number": "509-984-4526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 W WELLESLEY AVE STE C",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992051413",
            "telephone_number": "509-957-0097",
            "fax_number": "509-984-4526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNDERSON",
        "first_name": "MICHELE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-16",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60186765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.