Active NPI
Jacqueline Flowers, DNP, ARNP, FNP-C
- Family Nurse Practitioner
- Montesano, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61074495
- Practice address
- 319 E Pioneer Ave
Montesano, WA 98563-4601 - Phone
- (360) 249-3300
- NPI assigned
- Jun 29, 2020
- Last updated
- Jun 29, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP61074495 | WA | Primary |
Addresses
Primary practice location
319 E Pioneer Ave
Montesano, WA 98563-4601
Mailing address
PO Box 1366
McKenna, WA 98558-1366
Phone (360) 470-2879
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14815 Pacific Ave S
Tacoma, WA 98444-4654
Phone (253) 697-8660
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61074495 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dispatchhealth Washington PC | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Grays Harbor Community Hospital | Current | Accepting new patients | |
| Dispatchhealth Advanced Care - Washington PC | Past | Accepting new patients |
Locations
915 Anderson Dr
Aberdeen, WA 98520
Phone (360) 532-8330
319 E Pioneer Ave
Montesano, WA 98563
Phone (360) 249-1980
1411 4th Ave
Seattle, WA 98101
Phone (253) 271-9720
920 N Argonne Rd
Ste 115
Spokane Valley, WA 99212
Phone (509) 408-2107
6240 Tacoma Mall Blvd
Ste 101
Tacoma, WA 98409
Phone (253) 271-9720
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Parkland, WA
- NPI 1801352505
-
- Emergency Medicine Physician
- Tacoma, WA
- NPI 1013490507
-
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1154378859
-
dba Grays Harbor Radiology
- General Acute Care Hospital
- Aberdeen, WA
- NPI 1144676487
-
- Hospitalist Physician
- Denver, CO
- NPI 1093324659
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MultiCare Good Samaritan Hospital
- General Acute Care Hospital
- Puyallup, WA
- NPI 1841231461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1891312526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1366",
"city": "MCKENNA",
"state": "WA",
"postal_code": "985581366",
"telephone_number": "360-470-2879"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 E PIONEER AVE",
"city": "MONTESANO",
"state": "WA",
"postal_code": "985634601",
"telephone_number": "360-249-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLOWERS",
"first_name": "JACQUELINE",
"credential": "DNP, ARNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-29",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61074495",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montesano, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.