Individual provider Active NPI

Marguerite Donna Wayland, APRN, FNP-C

  • Nurse Practitioner
  • Colfax, WA
National Provider Identifier
1861622482
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP60081453 Issued in WA
Practice address
1055 W Fairview St Ste B
Colfax, WA 99111-5106
Phone
(509) 397-5740
Fax
(509) 397-4713
NPI assigned
Jul 16, 2009
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60081453 WA Primary
Family Nurse Practitioner 363LF0000X AP60081453 WA
Gastroenterology Registered Nurse 163WG0100X 60041199 WA

Addresses

Primary practice location

1055 W Fairview St Ste B
Colfax, WA 99111-5106

Mailing address

1016 W Wedgewood Ave
Spokane, WA 99208-6252
Phone (509) 939-9730

Other names 1

  • Ms. Marguerite Donna Pearson Former name

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
I20110901000775 WA Practitioner - Nurse Practitioner 3476723396 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60041199WAMDGastroenterology Registered Nurse
AP60081453WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Public Hospital District No 3 of Whitman County CurrentSince Apr 20, 2024 Accepting new patients
Whitman Medical Group PS Past Accepting new patients

Locations

1055 W Fairview St
#B
Colfax, WA 99111
Phone (509) 397-5740

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

Interoperability endpoints

  • Direct secure messaging: mwayland327396@wm.providencedirect.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1861622482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 W WEDGEWOOD AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992086252",
            "telephone_number": "509-939-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 W FAIRVIEW ST STE B",
            "city": "COLFAX",
            "state": "WA",
            "postal_code": "991115106",
            "telephone_number": "509-397-5740",
            "fax_number": "509-397-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYLAND",
        "first_name": "MARGUERITE",
        "middle_name": "DONNA",
        "name_prefix": "Ms.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60081453",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60081453",
            "primary": false
        },
        {
            "code": "163WG0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gastroenterology",
            "state": "WA",
            "license": "60041199",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGUERITE",
            "last_name": "PEARSON",
            "middle_name": "DONNA",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colfax, WA

Sources for this page

Verify at the official NPI Registry.