Individual provider Active NPI

Michelle Walker, ARNP, FNP

  • Family Nurse Practitioner
  • Bothell, WA
National Provider Identifier
1861969156
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60892518 Issued in WA
Practice address
19125 N Creek Pkwy Ste 120
Bothell, WA 98011-8000
Phone
(425) 260-2612
NPI assigned
Oct 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP60892518 WA
Family Nurse Practitioner 363LF0000X AP60892518 WA Primary

Addresses

Primary practice location

19125 N Creek Pkwy Ste 120
Bothell, WA 98011-8000

Mailing address

19125 N Creek Pkwy Ste 120
Bothell, WA 98011-8000
Phone (425) 260-2612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, FL, AZ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190208002408 WA Practitioner - Nurse Practitioner 1557609914 Reassigns benefits to 4 organizations
I20250709001839 FL Practitioner - Nurse Practitioner 1557609914 Reassigns benefits to 1 organization
I20251114003982 AZ Practitioner - Nurse Practitioner 1557609914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fandm Healthcare, LLCGroup PAC ID 8628462983, 30 clinicians
Mindful Therapy Group PCGroup PAC ID 4981872561, 654 clinicians

Practice addresses (Care Compare)

Tacoma, WA 98406
Phone (253) 777-1423

13390 NE Village Square Dr
Apt B309
Woodinville, WA 98072-4120
Phone (425) 260-2612

5550 Glades Rd
Suite 500
Boca Raton, FL 33431-7277
Phone (425) 260-2612

7100 Fort Dent Way
Suite 220
Tukwila, WA 98188-8553
Phone (425) 640-7009

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP60892518WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Therapy Group PC CurrentSince Jun 1, 2020 Accepting new patients
Wellness Care PLLC Nurse Practitioner CurrentSince Apr 16, 2025 Accepting new patients
F&M Healthcare, LLC CurrentSince Jul 1, 2023 Accepting new patients
Post Acute Medical PLLC CurrentSince Apr 1, 2020 Accepting new patients
Well Coast Medical Corporation PastSince Jun 1, 2020 Accepting new patients

Locations

400 E Rivulon Blvd
Ste 103
Gilbert, AZ 85297

5550 Glades Rd
Ste 500
Boca Raton, FL 33431
Phone (469) 391-0070

6505 216th St SW
Ste 100
Mountlake Terrace, WA 98043
Phone (425) 678-6463

21907 64th Ave W
Ste 200
Mountlake Terrace, WA 98043
Phone (410) 258-3698

320 NE 97th St
Ste A
Seattle, WA 98115
Phone (206) 323-8113

6220 S Alaska St
Tacoma, WA 98408
Phone (253) 473-2273

7100 Fort Dent Way
Ste 220
Tukwila, WA 98188
Phone (206) 708-7274

6824 19th St W
#256
University Place, WA 98466
Phone (253) 777-1423

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": "1540425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1861969156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19125 N CREEK PKWY STE 120",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118000",
            "telephone_number": "425-260-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19125 N CREEK PKWY STE 120",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980118000",
            "telephone_number": "425-260-2612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "ARNP, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-25",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP60892518",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP60892518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bothell, WA

Sources for this page

Verify at the official NPI Registry.