Active NPI
Jean M Wessel, ARNP
- Family Nurse Practitioner
- Darrington, WA
National Provider Identifier
1891775664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP30006120
- Practice address
- 5318 Chief Brown LN
Darrington, WA 98241-9420 - Phone
- (360) 436-2210
- Fax
- (360) 436-2226
- NPI assigned
- Jan 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Registered Nurse | 163WC0400X | RN00046951 | WA | |
| General Practice Registered Nurse | 163WG0000X | RN00046951 | WA | |
| Community Health Nurse Practitioner | 363LC1500X | AP30006120 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP30006120 | WA | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | AP30006120 | WA |
Addresses
Primary practice location
5318 Chief Brown LN
Darrington, WA 98241-9420
Mailing address
5318 Chief Brown LN
Darrington, WA 98241-9420
Phone (360) 436-2210
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9512KE | Other | WA | REGENCE BLUESHIELD |
| 9645573 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00046951 | WA | MD | Case Management Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sauk-Suiattle Indian Tribe | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Children's Substance Abuse Rehabilitation Facility
- Darrington, WA
- NPI 1265588537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317772800000",
"number": "1891775664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5318 CHIEF BROWN LN",
"city": "DARRINGTON",
"state": "WA",
"postal_code": "982419420",
"telephone_number": "360-436-2210",
"fax_number": "360-436-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5318 CHIEF BROWN LN",
"city": "DARRINGTON",
"state": "WA",
"postal_code": "982419420",
"telephone_number": "360-436-2210",
"fax_number": "360-436-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESSEL",
"first_name": "JEAN",
"middle_name": "M",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-18",
"last_updated": "2011-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Case Management",
"state": "WA",
"license": "RN00046951",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "WA",
"license": "RN00046951",
"primary": false
},
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "WA",
"license": "AP30006120",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP30006120",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP30006120",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUESHIELD",
"identifier": "9512KE",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9645573",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Darrington, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.